Lauraine E Davidson M.D.

NPI 1063443380 - Internal Medicine - 207R00000X

NPI Details
NPI 1063443380
Gender Female
Enumeration Date 07/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1153 CENTRE ST
JAMAICA PLAIN MA, 02130-3446, US
Phone (617) 983-4410
Fax
Business Location
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON MA, 02109-4806, US
Phone (617) 559-8374
Fax (617) 421-3487
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 50923
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According to our database, Lauraine E Davidson M.D. NPI is 1063443380, taxonomy code is 207R00000X and license number is 50923, license state is located at Massachusetts. Lauraine E Davidson M.D. physically located at 1153 Centre St, Jamaica Plain MA, 02130-3446. NPI Number Lauraine E Davidson M.D. has the Individual type.

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1063443380 NPI number is provided on an as is basis without warranty of any kind. 1063443380 is maintained by the National Plan & Provider Enumeration System. The contents of Lauraine E Davidson M.D. are for informational purposes only.