Most Relevant Information
Provider Data
| NPI Number: | 1003221136 |
| Provider Name: | LARA COAKLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2014006770 |
Most Important Dates
| Enumeration Date: | 06/27/2014 |
| Last Updated: | 06/27/2014 |
Provider Practice Location
75 FRANCIS ST
BOSTON
MA
021156110
Practice Location Phone/Fax
| Phone: | 6177325500 |
| Fax: |
Provider Mailing Location
75 FRANCIS ST
BOSTON
MA
021156110
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |