Iacovino, Lauren

Iacovino, Lauren is an individual health care provider with primary practice located at 398 Neponset Ave , Dorchester MA 02122-3134. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Iacovino, Lauren can be contacted via phone (617) 282-3200.

Contact Information

Primary practice address
398 Neponset Ave Dorchester MA 02122-3134
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2299333 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN2299333 Massachusetts

Profile Details

NPI number 1639547441
LBN Legal business name Iacovino, Lauren
Credentials BSN, MS, AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2015
Last updated Jul 12th, 2021 - about 4 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 1639547441 NPPES
Massachusetts Other 0026023 MEDICARE
Massachusetts MEDICAID 1305395 MEDICARE

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