Doctor Name: | DR. LAURA LINDA MCCANN |
NPI Number: | 1073510756 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 48368 |
Business Practice Address: | 1 Washington St Ste 300 Wellesley, MA - 024811711 |
Business Phone Number: | 7814310151 |
Business Fax Number: | 7814810152 |
Mailing Address: | 1 Washington St, Ste 300 WELLESLEY |
State: | MA |
Postal Code: | 024811711 |
Phone Number: | 7814310151 |
Fax Number: | 7814810152 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 12/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 48368 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |