Individual provider · Type 1 NPI

Lara Rose

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

NPI number 1780987446 Active

Practice location

860 Harrison Ave, 9th Floor
Boston, MA 02118-4002

Call (617) 414-4758 Map

Fax (617) 414-6855

Mailing address

PO Box 15386
Boston, MA 02215-0007

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 1780987446

Lara Rose's National Provider Identifier is 1780987446, issued on Dec 17, 2010. 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 Jan 21, 2011.