Individual
LAUREN BUSEKROOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WASON AVE, SUITE 100, SPRINGFIELD, MA 01107-1381
(413) 732-7426
Mailing address
38 CHISWICK ST, LONGMEADOW, MA 01106-2617
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
262447
MA
Other
Enumeration date
05/11/2010
Last updated
08/05/2015
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