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NPI Code Detail

MEDICARE: PIOTR LAZOWSKI MD

MEDICARE:   PIOTR  LAZOWSKI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician203175MA
2207RN0300XNephrology Physician203175MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6A30336OTHERMAMEDICARE
9110247713OTHERMARAILROAD MEDICARE
12203175OTHERMATUFTS MEDICARE PREFERRED

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12240855OTHERMAAETNA - INT MED
22240860OTHERMAAETNA - NEPHROLOGY
3491317OTHERMAUS FAMILY PCP
469545OTHERMAHARVARD PILGRIM HEALTH
530668OTHERMABMC HEALTHNET SPECIALIST
7J21812OTHERMABLUE SHIELD
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10203175OTHERMAUS FAMILY SPECIALIST
11203175OTHERMATUFTS HEALTH PLAN
13804490304OTHERMACIGNA

General Provider Information

NPI Number : 1386691012
Entity Type Code : Individual
Provider Name (Legal Business Name) : PIOTR LAZOWSKI MD
Provider Business Mailing Address
First Line : 47 OBERY STREET
Second Line : SUITE 1A
City : PLYMOUTH
State : MA
Zip : 02360-2229
Country : US
Telephone Number : 508-747-4883
Fax Number : 508-747-6661
Provider Business Practice Location Address
First Line : 47 OBERY STREET
Second Line : SUITE 1A
City : PLYMOUTH
State : MA
Zip : 02360-2229
Country : US
Telephone Number : 508-747-4883
Fax Number : 508-747-6661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2006
Last Update Date : 06/13/2024

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Directions to “ PIOTR LAZOWSKI MD” Practice Location

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