Individual
LORAN WILLIS ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 SPRINGFIELD RD, SUITE 3, WESTFIELD, MA 01085-1790
(413) 572-2973
(413) 572-2975
Mailing address
75 SPRINGFIELD RD, SUITE 3, WESTFIELD, MA 01085-1790
(413) 572-2973
(413) 572-2975
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
80758
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021661
NEIGHBORHOOD HEALTH
—
01
—
043414755
TAX ID
—
01
—
080758
TUFTS AND MEDICARE PREFER
—
01
—
101273
CIGNA
—
01
—
103178000
DEPT OF LABOR
—
01
—
1037878
US HEALTHCARE
—
01
—
15956
HEALTH NEW ENGLAND
—
01
—
20254
BMC HEALTHNET
—
01
—
2874901
CIGNA
MA
05
—
3137902
—
MA
01
—
777730
CONNETICARE
—
01
—
80758
LICENSE NUMBER
MA
01
—
97875
KAISER
—
01
—
J16048
BCBS OF MA
MA
01
—
J16048
BLUECROSS BLUESHIELD
—
Enumeration date
01/06/2006
Last updated
03/07/2023
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