Individual
DR. LAWRENCE S FIEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
4 DOVE AVE, SALEM, MA 01970-2944
(978) 745-9003
(978) 825-8622
Mailing address
4 DOVE AVE, SALEM, MA 01970-2944
(978) 745-9003
(978) 825-8622
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3652
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0517747
—
MA
01
—
W03727
BLUE CROSS OF MA
MA
01
—
W10418
BLUE CROSS OF MA GROUP
MA
Enumeration date
01/23/2007
Last updated
02/28/2008
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