Individual
LAWRENCE H. PRUSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
10 HOSPITAL DR STE 106, HOLYOKE, MA 01040-6612
(413) 533-3516
Mailing address
10 HOSPITAL DR STE 106, HOLYOKE, MA 01040-6670
(413) 533-3516
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
164
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028572A
—
MA
Enumeration date
02/28/2007
Last updated
06/09/2023
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