Individual
MRS. LAUREN REPOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, FNP-C
Contact information
Practice address
1200 W CHESTNUT ST, BROCKTON, MA 02301-5574
(774) 517-5195
Mailing address
1200 W CHESTNUT ST, BROCKTON, MA 02301-5574
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2272257
MA
Other
Enumeration date
08/05/2020
Last updated
12/08/2021
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