Organization
ALLERGY & ASTHMA CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANA M LAZNICKOVA M.D. (PRESIDENT)
(781) 861-2049
Entity
Organization
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
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M18907
BCBS PRACTICE ID
MA
Enumeration date
02/19/2007
Last updated
08/22/2020
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