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Lauren Michelle Hertan, MD

in Boston, MA. Individual provider (NPI-1).

NPI number1376861450
StatusActive
Last updated in NPPESFeb 3, 2016

Details

NPI
1376861450
Entity type
Individual (NPI-1)
Name
Lauren Michelle Hertan
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2010
Last updated
Feb 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X 265396MAYes
207R00000X Internal MedicineMT197395PA
390200000X Student in an Organized Health Care Education/Training ProgramMT197395PA

Practice location

75 Francis St
Boston, MA 02115-6110

Phone 617-732-6310

Mailing address

75 Francis St
Boston, MA 02115-6110

Phone 215-908-2594

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