Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 254613 | MA |
NPI | 1023337995 |
---|---|
Provider Name | Dr. Laura K Mansfield |
First Address | Littleton, MA 01460-1933 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2010 |
Last Update Date | 29/04/2016 |