Individual
LAUREN TRUDEAU BARBOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
36 ADAMS ST, QUINCY, MA 02169-2002
(617) 773-0711
(617) 472-5400
Mailing address
36 ADAMS ST, QUINCY, MA 02169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7523
MA
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110078844A
—
MA
Enumeration date
03/05/2020
Last updated
04/03/2026
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