Healthcare Provider Details

I. General information

NPI: 1174939664
Provider Name (Legal Business Name): LAURI A ASKARI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2014
Last Update Date: 09/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 BROOKLINE AVE
BOSTON MA
02215-5400
US

IV. Provider business mailing address

330 BROOKLINE AVE
BOSTON MA
02215-5400
US

V. Phone/Fax

Practice location:
  • Phone: 617-667-3940
  • Fax: 617-667-2155
Mailing address:
  • Phone: 617-667-3940
  • Fax: 617-667-2155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN280599
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: