Provider Demographics
NPI:1114904364
Name:PAIVA, LORI A (DO)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:A
Last Name:PAIVA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:886 WASHINGTON ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3466
Mailing Address - Country:US
Mailing Address - Phone:781-762-1531
Mailing Address - Fax:781-762-2529
Practice Address - Street 1:886 WASHINGTON ST
Practice Address - Street 2:SUITE 3
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3466
Practice Address - Country:US
Practice Address - Phone:781-762-1531
Practice Address - Fax:781-762-2529
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA77585207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0000202OtherNEIGHBORHOOD HEALTH PLAN
MAJ10305OtherBLUE CROSS BLUE SHIELD
MA729360OtherTUFTS HEALTH PLAN
MA1281132OtherFALLON COMM HEALTH PLAN
MA30297OtherHARVARD PILGRIM
MA3069915Medicaid
MA729360OtherTUFTS HEALTH PLAN
MAE68931Medicare UPIN