Provider Demographics
NPI:1053758359
Name:MCGRATH, LAUREN A (CRNA)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:A
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ROLLING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019-1686
Mailing Address - Country:US
Mailing Address - Phone:508-561-2668
Mailing Address - Fax:781-407-0998
Practice Address - Street 1:5 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02019-1686
Practice Address - Country:US
Practice Address - Phone:508-561-2668
Practice Address - Fax:781-407-0998
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2268084367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered