Individual
DR. HANA M LAZNICKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16 CLARKE ST, LEXINGTON, MA 02421-4988
(781) 861-2049
(781) 861-1502
Mailing address
16 CLARKE ST, LEXINGTON, MA 02421-4988
(781) 861-2049
(781) 861-1502
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
155111
MA
207KA0200X
Allergy Physician
155111
MA
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
155111
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155111
MA STATE LICENSE
MA
01
—
51340
FALLON
MA
01
—
AA11049
HARVARD PILGRIM
MA
01
—
J22438
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/19/2007
Last updated
07/16/2007
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