Individual
LAUREN JEAN MARCOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1019504
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2021
Last updated
08/01/2024
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