Individual
JORDANA LAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
(857) 654-1100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
282770
MA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
282770
MA
Other
Enumeration date
03/23/2017
Last updated
12/19/2024
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