DR. LARA ANTKOWIAK M.D. NPI 1417110123

NPI Information

  • NPI: 1417110123
  • Provider Name: DR. LARA ANTKOWIAK, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 BOSTON MEDICAL CTR PL
    DEPARTMENT OF PEDIATRICS, DOWLING BUILDING
    BOSTON, MA
    ZIP 02118
  • Phone: (617) 638-8000

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NPI Details

DR. Lara Antkowiak, M.D. is a pediatrics in Boston, MA with 20 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Lara Antkowiak, M.D. NPI is 1417110123. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:2006

The provider's business location address is:

1 BOSTON MEDICAL CTR PL
DEPARTMENT OF PEDIATRICS, DOWLING BUILDING
BOSTON, MA
ZIP 02118-908
Phone: (617) 638-8000

The NPI 1417110123 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/3/2008 and was last updated on 7/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics229590MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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