Provider Demographics
NPI:1982677860
Name:RAY-LAMOND, SUSAN G (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:G
Last Name:RAY-LAMOND
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:179 NORTHAMPTON ST
Mailing Address - Street 2:#A
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-1057
Mailing Address - Country:US
Mailing Address - Phone:413-529-0600
Mailing Address - Fax:413-529-1919
Practice Address - Street 1:179 NORTHAMPTON ST
Practice Address - Street 2:#A
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1057
Practice Address - Country:US
Practice Address - Phone:413-529-0600
Practice Address - Fax:413-529-1919
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2013-01-29
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Provider Licenses
StateLicense IDTaxonomies
MA72019208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA20-3044097OtherCONSOLIDATED
MA201867OtherHARVARD PILGRIM
MA623828OtherTUFTS
MA2118277007OtherCIGNA
MA3307299OtherAETNA
MA20-3044097OtherGREAT-WEST
MA20-3044097OtherNORTH AMERICAN PREFERRED
MAJ19081OtherBCBSMA
MA24676OtherHEALTH NEW ENGLAND
MA3182223Medicaid
MA000000008089OtherBMC
MA20-3044097OtherNORTHEAST HEALTHCARE ALLI
MD20-3044097OtherPLAN VISTA
MA20-3044097OtherPRIVATE HEALTHCARE SYSTEM
MA20-3044097OtherNORTHEAST HEALTH DIRECT
MA20-3044097OtherUNICARE/GIC
MA720191OtherCONNECTICARE