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Individual

LAURA ORTIZ-TERAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD PHD

Contact information

Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3850
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
290419
MA
2085N0700X
Neuroradiology Physician
290419
MA
2085R0202X
Diagnostic Radiology Physician
Primary
290419
MA

Other

Enumeration date
05/18/2018
Last updated
08/23/2023
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