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Individual

DR. LAWRENCE WILMER STRATTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19 NORWOOD STREET EHC, MGH EVERETT FAMILY CARE, EVERETT, MA 02149-2709
(617) 394-7500
(617) 394-7576
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 394-7500
(617) 394-7576

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
151476
MA
208000000X
Pediatrics Physician
151476
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3176681
MA
01
750278
TUFTS HEALTH PLAN
MA
01
J18673
BCBS MA
MA
Enumeration date
12/05/2005
Last updated
12/18/2012
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