Provider Demographics
NPI:1992028310
Name:AGOGLIA, JANINE LAUREN (LAC)
Entity Type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:LAUREN
Last Name:AGOGLIA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:203 OAK ST
Mailing Address - Street 2:INTEGRATIVE THERAPEUTICS
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1306
Mailing Address - Country:US
Mailing Address - Phone:508-647-3200
Mailing Address - Fax:508-647-9020
Practice Address - Street 1:203 OAK ST
Practice Address - Street 2:INTEGRATIVE THERAPEUTICS
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1306
Practice Address - Country:US
Practice Address - Phone:508-647-3200
Practice Address - Fax:508-647-9020
Is Sole Proprietor?:No
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216401171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist