Laura Beth Fanning
Internist Allergist & Immunologist
850 Boylston St Suite 540
Chestnut Hill
, Massachusetts 02467-2477
Laura Beth Fanning
Internist Allergist & Immunologist
850 Boylston St Suite 540
Chestnut Hill
, Massachusetts 02467-2477
(617) 732-9850
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About
Features
Specialties
- Allergist & Immunologist
- Internist
Languages spoken
- English
Location
First Address
- Laura Beth Fanning
- 850 Boylston St Suite 540
- Chestnut Hill, MA
- Zip : 02467-2477
- Phone : (617) 732-9850
Second Address
- Laura Beth Fanning
- 850 Boylston St Suite 540
- Chestnut Hill, MA
- Zip : 02467-2477
- Phone : (617) 732-9850
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 235903 | MA |
| N | 207R00000X | Internist | 235903 | MA |
| N | 111NI0900X | Internist | 235903 | MA |
National Provider Identifier
| NPI | 1043493067 |
|---|---|
| Provider Name | Laura Beth Fanning |
| First Address | Chestnut Hill, MA 02467-2477 |
| Second Address | Chestnut Hill, MA 02467-2477 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2007 |
| Last Update Date | 08/10/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.