Provider Demographics
NPI:1386691012
Name:LAZOWSKI, PIOTR (MD)
Entity Type:Individual
Prefix:
First Name:PIOTR
Middle Name:
Last Name:LAZOWSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:47 OBERY STREET
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-2229
Mailing Address - Country:US
Mailing Address - Phone:508-747-4883
Mailing Address - Fax:508-747-6661
Practice Address - Street 1:47 OBERY STREET
Practice Address - Street 2:SUITE 1A
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-2229
Practice Address - Country:US
Practice Address - Phone:508-747-4883
Practice Address - Fax:508-747-6661
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2022-10-11
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Provider Licenses
StateLicense IDTaxonomies
MA203175207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA69545OtherHARVARD PILGRIM HEALTH
MA110247713OtherRAILROAD MEDICARE
MAJ21812OtherBLUE SHIELD
MA203175OtherUS FAMILY SPECIALIST
MA2240855OtherAETNA - INT MED
MA2240860OtherAETNA - NEPHROLOGY
MA203175OtherTUFTS MEDICARE PREFERRED
MA30668OtherBMC HEALTHNET SPECIALIST
MAA30336OtherMEDICARE
MA203175OtherTUFTS HEALTH PLAN
MA3201147Medicaid
MA491317OtherUS FAMILY PCP
MA804490304OtherCIGNA
MA69545OtherHARVARD PILGRIM HEALTH