Healthcare Provider Details

I. General information

NPI: 1639085822
Provider Name (Legal Business Name): LAINE CAROLINE ABBINANTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1032 TURNPIKE ST STE 301
CANTON MA
02021-2864
US

IV. Provider business mailing address

1335 BOYLSTON ST APT 1317
BOSTON MA
02215-3950
US

V. Phone/Fax

Practice location:
  • Phone: 781-344-0057
  • Fax:
Mailing address:
  • Phone: 630-699-0177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: