Provider Demographics
NPI:1033680541
Name:KAPLAN, LAUREN (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:DOVO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:9 MCKONE ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02122-3207
Mailing Address - Country:US
Mailing Address - Phone:203-856-2321
Mailing Address - Fax:
Practice Address - Street 1:1324 BELMONT ST STE 105
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-4435
Practice Address - Country:US
Practice Address - Phone:617-571-6732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-09
Last Update Date:2018-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2292748363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics