Basic Information
| Provider Information | |||||||||
| NPI: | 1265696421 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAUBACH | ||||||||
| FirstName: | ANJOLIE | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 77 MARION ST | ||||||||
| Address2: | APT 201 | ||||||||
| City: | BROOKLINE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024464770 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198248363 | ||||||||
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| Practice Location | |||||||||
| Address1: | 243 CHARLES STREET, | ||||||||
| Address2: | 7TH FLOOR (RM 712) DEPARTMENT OF ANESTHESIOLOGY | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6175733378 | ||||||||
| FaxNumber: | 6175734033 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2008 | ||||||||
| LastUpdateDate: | 09/09/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 235931 | MA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.