Individual
MS. LAUREN VAN AKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
55 FRUIT ST, BUL-015, BOSTON, MA 02114-2621
(617) 724-3874
Mailing address
55 FRUIT ST, BUL-015, BOSTON, MA 02114-2621
(617) 724-3874
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA5567
MA
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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