Individual
LAURA S COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
133 BROOKLINE AVE, INTERNAL MEDICINE, BOSTON, MA 02215-3904
(617) 421-5804
(617) 421-8865
Mailing address
107 COMMERCIAL ST, PROVIDER ENROLLMENT, MASHPEE, MA 02649-6507
(508) 539-6000
(508) 477-7028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2397
MA
Other
Enumeration date
04/30/2008
Last updated
03/06/2017
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