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Lara Basovic, MD
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1003340159

Lara Basovic is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Lara Basovic practices in Boston, MA and has the professional credentials of MD. The NPI Number for Lara Basovic is 1003340159 and holds a License No. 294357 (Massachusetts).

The current practice location address for Lara Basovic is 15 Parkman St Fl 8, Boston, MA and can be reached out via phone at 617-726-3311 and via fax at 617-726-9250.

Location: 15 Parkman St Fl 8, Boston, MA, 02114-3117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003340159
Provider Name
Lara Basovic
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
15 Parkman St Fl 8, Boston, MA, 02114-3117
Phone Number
617-726-3311
Fax Number
617-726-9250
Provider Enumeration Date
04/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15 Parkman St Fl 8
City
Boston
State
Massachusetts
Zip
02114-3117
Phone Number
617-726-3311
Fax Number
617-726-9250
person
Provider Business Mailing Address Details
Address
15 Parkman St Fl 8
City
Boston
State
Massachusetts
Zip
02114-3117
Phone Number
617-726-3311
Fax Number
617-726-9250
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
()
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
294357 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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