Provider Demographics
NPI:1144264615
Name:ENGEL, LAUREN (MD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:ENGEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:147 MILK ST
Mailing Address - Street 2:PROVIDER ENROLLMENT 9TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-4806
Mailing Address - Country:US
Mailing Address - Phone:617-421-2508
Mailing Address - Fax:617-421-3487
Practice Address - Street 1:133 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3904
Practice Address - Country:US
Practice Address - Phone:617-421-1151
Practice Address - Fax:617-421-8787
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2009-04-07
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Provider Licenses
StateLicense IDTaxonomies
MA3907207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0031476OtherNEIGHBORHOOD HEALTH PLAN
MA0371921Medicaid
MA2582370OtherCIGNA
MAAA2833OtherHARVARD PILGRIM
MAW16141OtherBLUE CROSS
MA468646OtherTUFTS HEALTH PLAN
MAAA2833OtherHARVARD PILGRIM
MAU67613Medicare UPIN