Most Relevant Information
Provider Data
| NPI Number: | 1003340159 |
| Provider Name: | LARA BASOVIC MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2084N0400X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 294357 |
Most Important Dates
| Enumeration Date: | 04/16/2017 |
| Last Updated: | 09/01/2023 |
Provider Practice Location
15 PARKMAN ST FL 8
BOSTON
MA
021143117
Practice Location Phone/Fax
| Phone: | 6177263311 |
| Fax: | 6177269250 |
Provider Mailing Location
15 PARKMAN ST FL CENTER8
BOSTON
MA
021143117
Provider Mailing Phone/Fax
| Phone: | 6177263311 |
| Fax: | 6177269250 |
Suggested EMR
Neurology EMR