Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 276522 | MA |
NPI | 1053679712 |
---|---|
Provider Name | Dr. Lauren Hittson Boal |
First Address | Boston, MA 02114-2696 |
Second Address | Boston, MA 02114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2012 |
Last Update Date | 17/08/2018 |