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
Phone: (617) 282-3200
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639547441 | NPPES |
Massachusetts | Other | 0026023 | MEDICARE |
Massachusetts | MEDICAID | 1305395 | MEDICARE |
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