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NPI Code Detail

MEDICARE: DR. LAUREN MICHELLE LAGREGA M.D.

MEDICARE: DR. LAUREN MICHELLE LAGREGA M.D.
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
1208000000XPediatrics Physician232450NY
2208000000XPediatrics Physician230228MA

General Provider Information

NPI Number : 1760410492
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN MICHELLE LAGREGA M.D.
Provider Business Mailing Address
First Line : 1611 CAMBRIDGE ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-4302
Country : US
Telephone Number : 617-661-5575
Fax Number : 617-661-5134
Provider Business Practice Location Address
First Line : 495 WESTERN AVE
Second Line :
City : BRIGHTON
State : MA
Zip : 02135-1007
Country : US
Telephone Number : 617-783-0500
Fax Number : 617-562-1398
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 03/19/2026

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