Provider Demographics
NPI:1902809874
Name:ARENA, LORI M (PHARMD)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:M
Last Name:ARENA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 E NEWTON ST
Mailing Address - Street 2:# H2606
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2658
Mailing Address - Country:US
Mailing Address - Phone:617-414-7049
Mailing Address - Fax:617-638-6782
Practice Address - Street 1:88 E NEWTON ST
Practice Address - Street 2:# H2606
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2658
Practice Address - Country:US
Practice Address - Phone:617-414-7049
Practice Address - Fax:617-638-6782
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261111835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy