Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 11756 | MA |
NPI | 1760404222 |
---|---|
Provider Name | Dr. Nicholas Kenneth Lamura |
First Address | Sturbridge, MA 01566-1507 |
Second Address | Sturbridge, MA 01566-1507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 11/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
011756 | TUFTS (01) | MA |
16340 | HARVARD (01) | MA |
3751 | FALLON (01) | MA |
43942 | CIGNA (01) | MA |
98379601 | NETWORK HEALTH (01) | MA |
U28000 | (02) | MA |
V04120 / X10159 | BCBS OF MA (01) | MA |