NPI 1003340159 · live from the CMS NPI Registry
Lara Basovic, MD
Psychiatry & Neurology, Epilepsy in Boston, MA. National Provider Identifier 1003340159, active.
NPI record
| NPI | 1003340159 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Epilepsy 2084E0001X |
| Practice location | 55 Fruit St, Boston, MA 02114 |
| Practice phone | 617-726-3311 |
| Mailing address | 15 Parkman St Fl Center8, Boston, MA 02114 |
| Enumerated | April 16, 2017 |
| Last updated | May 8, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 294357 (MA) |
| Psychiatry & Neurology, Epilepsy primary | 2084E0001X | 294357 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.