Healthcare Provider Details

I. General information

NPI: 1053758359
Provider Name (Legal Business Name): LAUREN A MCGRATH CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2013
Last Update Date: 05/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 ROLLING HILLS DR
BELLINGHAM MA
02019-1686
US

IV. Provider business mailing address

5 ROLLING HILLS DR
BELLINGHAM MA
02019-1686
US

V. Phone/Fax

Practice location:
  • Phone: 508-561-2668
  • Fax: 781-407-0998
Mailing address:
  • Phone: 508-561-2668
  • Fax: 781-407-0998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN2268084
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: