Individual
SONJA K RASLAVICUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
370 MERRIMACK ST, LAWRENCE, MA 01843-1788
(978) 557-8800
(978) 557-8633
Mailing address
500 MERRIMACK ST, LAWRENCE, MA 01843-1756
(978) 557-8800
(978) 557-8633
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12536
NH
207P00000X
Emergency Medicine Physician
Primary
217591
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042885
BMC HEALTHNET PLAN
—
01
—
04Y005461MA02
ANTHEM
NH
05
—
2099080
—
MA
05
—
30223368
—
NH
05
—
432620899
—
ME
01
—
AA25559
HARVARD PILGRIM
—
01
—
P00196623
RAILROAD MEDICARE
—
Enumeration date
11/21/2006
Last updated
08/10/2021
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