Individual
LAURA ANN PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
110 FRANCIS ST, SUITE 3 B, BOSTON, MA 02215-5501
(917) 632-9795
Mailing address
110 FRANCIS ST, SUITE 3 B, BOSTON, MA 02215-5501
(917) 632-9795
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1925
NY
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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