Provider Demographics
NPI:1093729352
Name:LAGUETTE, JULIA GRACE (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:GRACE
Last Name:LAGUETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:250 HAMMOND POND PKWY
Mailing Address - Street 2:APT 401-S
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-1533
Mailing Address - Country:US
Mailing Address - Phone:617-243-3748
Mailing Address - Fax:
Practice Address - Street 1:250 HAMMOND POND PKWY
Practice Address - Street 2:APT 401-S
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-1533
Practice Address - Country:US
Practice Address - Phone:617-243-3748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78345207ZC0500X, 207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Not Answered207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology