Provider Demographics
NPI:1295762177
Name:HAMMERSTRAND, ELIZABETH LAGER (NP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LAGER
Last Name:HAMMERSTRAND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 BINNEY ST
Mailing Address - Street 2:HEAD AND NECK ONCOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:617-632-4448
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:HEAD AND NECK ONCOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-6309
Practice Address - Fax:617-632-4448
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA258441363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health