Dr. Timothy Lax
Allergist & Immunologist Internist - Allergy & Immunology Pediatric Hematology-Oncologist
1 Brookline Pl Suite 623
Brookline
, Massachusetts 02445-7224
Dr. Timothy Lax
Allergist & Immunologist Internist - Allergy & Immunology Pediatric Hematology-Oncologist
1 Brookline Pl Suite 623
Brookline
, Massachusetts 02445-7224
(617) 278-8100
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About
Features
Specialties
- Allergist & Immunologist
- Internist - Allergy & Immunology
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Timothy Lax
- 1 Brookline Pl Suite 623
- Brookline, MA
- Zip : 02445-7224
- Phone : (617) 278-8100
Second Address
- Dr. Timothy Lax
- 1 Brookline Pl Suite 623
- Brookline, MA
- Zip : 02445-7224
- Phone : (617) 278-8100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207K00000X | Allergist & Immunologist | 248449 | MA |
| Y | 207RA0201X | Internist - Allergy & Immunology | 248449 | MA |
| N | 2080P0207X | Pediatric Hematology-Oncologist | 036120469 | IL |
National Provider Identifier
| NPI | 1487810156 |
|---|---|
| Provider Name | Dr. Timothy Lax |
| First Address | Brookline, MA 02445-7224 |
| Second Address | Brookline, MA 02445-7224 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2008 |
| Last Update Date | 07/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036120469 | MEDICAL LICENSE NUMBER (01) | IL |
| 248449 | MEDICAL LICENSE (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.