Provider Demographics
NPI:1497891030
Name:KATZ, LAURIE M (MD)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:M
Last Name:KATZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 WASHINGTON ST, #341
Mailing Address - Street 2:NEWTON WELLESLEY ORTHOPEDIC ASSOC., INC.
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462
Mailing Address - Country:US
Mailing Address - Phone:617-964-0024
Mailing Address - Fax:617-964-6374
Practice Address - Street 1:2000 WASHINGTON ST, #341
Practice Address - Street 2:NEWTON WELLESLEY ORTHOPEDIC ASSOC., INC
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1602
Practice Address - Country:US
Practice Address - Phone:617-964-0024
Practice Address - Fax:617-964-6374
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2010-05-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA230911207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine