Provider Demographics
NPI:1093976284
Name:JALETTE, LAUREN MARIEANGE (DC)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:MARIEANGE
Last Name:JALETTE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MILK ST
Mailing Address - Street 2:SUITE 354
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-4600
Mailing Address - Country:US
Mailing Address - Phone:617-292-7757
Mailing Address - Fax:617-292-7759
Practice Address - Street 1:10 MILK ST
Practice Address - Street 2:SUITE 354
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-4600
Practice Address - Country:US
Practice Address - Phone:617-292-7757
Practice Address - Fax:617-292-7759
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3190111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor