Provider Demographics
NPI:1720152606
Name:HANRAHAN, LAURIE ANN (CPM)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:ANN
Last Name:HANRAHAN
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 WINONA ST
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-1417
Mailing Address - Country:US
Mailing Address - Phone:617-964-7501
Mailing Address - Fax:
Practice Address - Street 1:83 INMAN ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-1212
Practice Address - Country:US
Practice Address - Phone:617-864-3531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife