Individual
LAUREN SHKOLNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
55 HIGHLAND AVE, SUITE 304, SALEM, MA 01970-2185
(978) 741-4171
(978) 741-4283
Mailing address
55 HIGHLAND AVE, SUITE 304, SALEM, MA 01970-2185
(978) 741-4171
(978) 741-4283
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
250342
MA
207RG0100X
Gastroenterology Physician
Primary
250342
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092493A
—
MA
Enumeration date
07/08/2009
Last updated
09/15/2016
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