Healthcare Provider Details

I. General information

NPI: 1194179234
Provider Name (Legal Business Name): LAUREN E. SCOTT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN EMILY SCOTT MD

II. Dates (important events)

Enumeration Date: 04/14/2016
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 COMMONWEALTH AVE
BOSTON MA
02215-1274
US

IV. Provider business mailing address

960 MASSACHUSETTS AVE FL 2
BOSTON MA
02118-2690
US

V. Phone/Fax

Practice location:
  • Phone: 617-414-6800
  • Fax: 617-414-6817
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number266151
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: