Individual provider · Type 1 NPI

Frances Lydia Koback, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1114875440 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Other practice locations

  • 300 Longwood Ave, Boston, MA 02115-5724 · (617) 355-6000
  • 330 Brookline Ave, Boston, MA 02215-5491 · (617) 667-7000
  • 75 Francis St, Boston, MA 02115-6106 · (617) 732-5500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114875440

Frances Lydia Koback, MD's National Provider Identifier is 1114875440, issued on Mar 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Mar 20, 2026.