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Individual

DR. LORENVER O PO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 HOSPITAL DR SUITE 101, HOLYOKE ASSOCIATES IN INTERNAL MEDICINE, HOLYOKE, MA 01040
(413) 536-8924
(413) 532-9141
Mailing address
15 HOSPITAL DR., WESTERN MASS PHYSICIAN ASSOCIATES INC, HOLYOKE, MA 01040
(413) 533-3470
(413) 533-6859

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
215625
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000023253
BOSTON MEDICAL CENTER HNP
05
0195511
MA
01
043202198
HMC - PPO
01
043202198012
TRICARE
01
110246843
MEDICARE RAILROAD
MA
01
215625
CONNECTICARE OF MA
01
30889
HEALTH NEW ENGLAND
01
6439469001
CIGNA
01
692919
HARVARD PILGRIM
01
975688
NETWORK HEALTH
01
J25173
BC/BS OF MASS
Enumeration date
07/28/2005
Last updated
04/09/2010
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