MEDICARE: LANA M RIFKIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	260519	MA
2	207WX0108X	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician	260519	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053553867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANA M RIFKIN MD

Provider Business Mailing Address
First Line	:	50 STANIFORD ST
Second Line	:	SUITE 600
City	:	BOSTON
State	:	MA
Zip	:	02114-2517
Country	:	US
Telephone Number	:	617-367-4800
Fax Number	:	617-723-7028

Provider Business Practice Location Address
First Line	:	50 STANIFORD ST
Second Line	:	SUITE 600
City	:	BOSTON
State	:	MA
Zip	:	02114-2517
Country	:	US
Telephone Number	:	617-367-4800
Fax Number	:	617-723-7028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2009
Last Update Date	:	12/20/2021

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Directions to “ LANA M RIFKIN MD” Practice Location

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