Healthcare Provider Details

I. General information

NPI: 1982995148
Provider Name (Legal Business Name): LAUREN CHRISTINE BRIERE MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2011
Last Update Date: 12/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2696
US

IV. Provider business mailing address

125 NASHUA ST # 8440A
BOSTON MA
02114-1100
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-1561
  • Fax:
Mailing address:
  • Phone: 617-643-8427
  • Fax: 617-643-6362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC037
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: