Healthcare Provider Details

I. General information

NPI: 1760673123
Provider Name (Legal Business Name): LAUREN BETH SLATER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN BETH POSNIEWSKI MD

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 NORTH ST STE 301
PITTSFIELD MA
01201-4172
US

IV. Provider business mailing address

777 NORTH ST
PITTSFIELD MA
01201-4147
US

V. Phone/Fax

Practice location:
  • Phone: 413-499-8568
  • Fax:
Mailing address:
  • Phone: 413-499-8570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number246321
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: