Provider Demographics
NPI:1851379010
Name:BORGES, LAWRENCE FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:FRANCIS
Last Name:BORGES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-6156
Mailing Address - Fax:617-724-7407
Practice Address - Street 1:55 FRUIT STREET
Practice Address - Street 2:WHT 1205
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-6156
Practice Address - Fax:617-726-7407
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2012-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA44415207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA706114OtherTUFTS HEALTH PLAN
MAJ02002OtherBCBS MA
MA6164366Medicaid
MA706114OtherTUFTS HEALTH PLAN
A56299Medicare UPIN