Provider Demographics
NPI:1346224862
Name:LAMONT, ELIZABETH BERNIER (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:BERNIER
Last Name:LAMONT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-4000
Mailing Address - Fax:617-726-0453
Practice Address - Street 1:101 MERRIMAC ST
Practice Address - Street 2:M01 10
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-4724
Practice Address - Country:US
Practice Address - Phone:617-724-1817
Practice Address - Fax:617-726-9501
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2012-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA219536207R00000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2029120Medicaid
MA468606OtherTUFTS HEALTH PLAN
MAJ26957OtherBCBS MA
MAJ26957OtherBCBS MA
MAA36205Medicare ID - Type Unspecified