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Individual

LAWRENCE S BLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
480 LYNNFIELD ST, LYNN, MA 01904-1419
(781) 595-1564
(781) 595-1580
Mailing address
480 LYNNFIELD ST, LYNN, MA 01904-1419
(781) 595-1564
(781) 595-1580

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
49960
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3016056
MA
Enumeration date
07/18/2006
Last updated
01/15/2010
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