Individual
DR. DALE G ST. LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 368-7887
(508) 792-4392
Mailing address
5 NEPONSET ST, WOT 2ND FL, STE C203, WORCESTER, MA 01606-2714
(508) 368-7887
(508) 792-4392
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
74183
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110052104A
—
MA
Enumeration date
11/21/2005
Last updated
09/17/2018
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