Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 264163 | MA |
N | 111NI0900X | Internist | 264163 | MA |
Y | 207RA0201X | Internist - Allergy & Immunology | 282314 | MA |
NPI | 1063892636 |
---|---|
Provider Name | Dr. Nicole Anne Lahood |
First Address | Boston, MA 02114-2696 |
Second Address | Boston, MA 02114-2696 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2015 |
Last Update Date | 06/07/2020 |