Individual
DR. MARIANELA LAVENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
563 MAIN ST, BOLTON, MA 01740-1300
(978) 586-3939
(978) 586-3855
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
272126
MA
207Q00000X
Family Medicine Physician
E6605
AR
Other
Enumeration date
07/20/2008
Last updated
12/11/2020
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