St. Lawrence, Dale G
St. Lawrence, Dale G is an individual health care provider with primary practice located at 5 Neponset St , Worcester MA 01606-2714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. St. Lawrence, Dale G can be contacted via phone (508) 368-7887.Contact Information
Primary practice address
5 Neponset St
Worcester MA 01606-2714
Phone: (508) 368-7887
Fax: (508) 792-4392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 74183 | Massachusetts |
Profile Details
| NPI number | 1447233796 |
|---|---|
| LBN Legal business name | St. Lawrence, Dale G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Sep 17th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447233796 | NPPES |
| Massachusetts | MEDICAID | 110052104A |
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