Individual provider · Type 1 NPI

Lucas J. Eastaugh, MD

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

NPI number 1609154160 Active

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Call (617) 355-7893 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X247925 (MA)

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 1609154160

Lucas J. Eastaugh, MD's National Provider Identifier is 1609154160, issued on Aug 1, 2011. 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 Aug 1, 2011.