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Individual
LAWRENCE K FREITAS
Active
Individual
LAWRENCE K FREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
224133
MA
207RN0300X
Nephrology Physician
Primary
MD431120
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001974706
HIGHMARK BLUE SHIELD
PA
01
—
0048674000
IBC
—
01
—
02334MD431120
HEALTH PARTNERS
—
05
—
1019298740001
—
PA
01
—
7706849
AETNA PROVIDER NUMBER
PA
01
—
MD431120
MEDICAL LICENSE
PA
01
—
P00435581
RAILROAD MEDICARE
—
Enumeration date
05/30/2006
Last updated
05/22/2008
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