MEDICARE: LAUREN MARIE SZLOSEK PA-C

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1578828000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN MARIE SZLOSEK PA-C

Provider Business Mailing Address
First Line	:	526 MAIN ST STE 302
Second Line	:
City	:	ACTON
State	:	MA
Zip	:	01720-3301
Country	:	US
Telephone Number	:	978-371-7010
Fax Number	:	978-371-0522

Provider Business Practice Location Address
First Line	:	201 BOSTON POST RD W STE 200&2002
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-4667
Country	:	US
Telephone Number	:	508-460-9613
Fax Number	:	508-371-0522

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2012
Last Update Date	:	04/17/2024

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