Healthcare Provider Details

I. General information

NPI: 1780593244
Provider Name (Legal Business Name): RAYMOND SAULS MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 HIGH STREET EXT STE 5
LANCASTER MA
01523-2056
US

IV. Provider business mailing address

136 HIGH STREET EXT STE 5
LANCASTER MA
01523-2056
US

V. Phone/Fax

Practice location:
  • Phone: 978-368-1227
  • Fax:
Mailing address:
  • Phone: 978-368-1227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KELSEY DAUGHERTY
Title or Position: CHIEF OPERATING OFFICER
Credential: PMHNP-BC
Phone: 816-666-4201