Provider Demographics
NPI:1245988997
Name:RACINE, LAUREN GERMAINE
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:GERMAINE
Last Name:RACINE
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 1:23 GODDARD DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-4412
Mailing Address - Country:US
Mailing Address - Phone:774-272-1241
Mailing Address - Fax:
Practice Address - Street 1:23 GODDARD DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-4412
Practice Address - Country:US
Practice Address - Phone:774-272-1241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care