Healthcare Provider Details

I. General information

NPI: 1093078461
Provider Name (Legal Business Name): LAUREN ANN BRANCHINI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2012
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 HOWE AVE
SHREWSBURY MA
01545-5833
US

IV. Provider business mailing address

115 HOWE AVE
SHREWSBURY MA
01545-5833
US

V. Phone/Fax

Practice location:
  • Phone: 518-527-5469
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberRS2015-0580
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number283530
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: