Individual
DR. LAUREN L HIESTAND
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF PATHOLOGY - BLOOD BANK, WORCESTER, MA 01655-0002
(508) 334-7159
Mailing address
PO BOX 62, TURNPIKE STATION, SHREWSBURY, MA 01545-0062
(508) 334-8815
(508) 334-5374
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
74974
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3084183
—
MA
Enumeration date
12/05/2005
Last updated
07/08/2007
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