Individual
DR. NICHOLAS KENNETH LAMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
58 MAIN ST, STURBRIDGE, MA 01566-1507
(508) 347-9503
Mailing address
58 MAIN ST, STURBRIDGE, MA 01566-1507
(508) 347-9503
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
11756
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011756
TUFTS
MA
01
—
16340
HARVARD
MA
01
—
3751
FALLON
MA
01
—
43942
CIGNA
MA
01
—
98379601
NETWORK HEALTH
MA
01
—
V04120 / X10159
BCBS OF MA
MA
Enumeration date
07/24/2006
Last updated
09/11/2007
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