Individual
DR. MARA LORENZI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 STANIFORD ST, 3RD FLOOR S50 3 DIABETES UNIT, BOSTON, MA 02114-2517
(617) 726-8722
(617) 724-8534
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
59231
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3170284
—
MA
01
—
773885
TUFTS HEALTH PLAN
MA
01
—
J18353
BCBS MA
MA
Enumeration date
11/10/2005
Last updated
07/08/2007
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