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Organization

N. KENNETH LAMURA, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAURA J PALMER CDA (RECEPTIONIST)
(508) 347-9503
Entity
Organization

Contact information

Practice address
58 MAIN ST, STURBRIDGE, MA 01566-1507
(508) 347-9503
(508) 347-5337
Mailing address
58 MAIN ST, STURBRIDGE, MA 01566-1507
(508) 347-9503
(508) 347-5337

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11756
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0011756B
FALLON
MA
01
0100197
DELTA DENTAL OF MA
MA
01
011756B
TUFTS
MA
01
16340
HARVARD PILGRIM
MA
01
43942
CIGNA
MA
01
98379601
NETWORK HEALTH
MA
01
X10159 / V04120
BCBS OF MA
MA
Enumeration date
09/11/2007
Last updated
10/21/2008
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