Provider Demographics
NPI:1114296688
Name:LAFERRIERE, LENA
Entity Type:Individual
Prefix:
First Name:LENA
Middle Name:
Last Name:LAFERRIERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 SUMMER STREET
Mailing Address - Street 2:UNIT 2
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-2957
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:154 SUMMER ST
Practice Address - Street 2:UNIT 2
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-2957
Practice Address - Country:US
Practice Address - Phone:781-353-0270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker