Grubb, Laura Katherine

Grubb, Laura Katherine is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Grubb, Laura Katherine can be contacted via phone (617) 355-6000.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Phone: (617) 355-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00044897 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M5194 Texas
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MA5194 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 255759 Massachusetts

Profile Details

NPI number 1245210780
LBN Legal business name Grubb, Laura Katherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jun 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245210780 NPPES
Washington MEDICAID 1245210780
Washington Other 185682508
Washington MEDICAID 185682509
Washington MEDICAID 185682507
Washington Other 8V3105

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