Provider Demographics
NPI:1467432948
Name:SHATZ, LAUREN (MD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:SHATZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:40 MAIN ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-3100
Mailing Address - Country:US
Mailing Address - Phone:413-584-6422
Mailing Address - Fax:413-584-4346
Practice Address - Street 1:40 MAIN ST
Practice Address - Street 2:SUITE 106
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-3100
Practice Address - Country:US
Practice Address - Phone:413-584-6422
Practice Address - Fax:413-584-4346
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2010-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA216776207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA216776OtherTUFTS
MA32980OtherHEALTH NEW ENGLAND
MA0000000026557OtherBMC HEALTHNET
MA0377612002OtherCIGNA
MA7587489OtherAETNA
MA154616OtherHARVARD PILGRIM HEALTH CA
MA216776OtherCONNECTICARE
MACK0668OtherMEDICARE RR
MA2025680Medicaid
MAJ26704OtherBLUE CROSS AND BLUE SHIEL
MA7587489OtherAETNA
MAJ26704Medicare ID - Type Unspecified