Provider Demographics
NPI:1376105759
Name:LOPES DA SILVA, LAERCIO (MD)
Entity type:Individual
Prefix:DR
First Name:LAERCIO
Middle Name:
Last Name:LOPES DA SILVA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 LINCOLN ST DEPT OF
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-6342
Mailing Address - Country:US
Mailing Address - Phone:802-750-1339
Mailing Address - Fax:
Practice Address - Street 1:115 LINCOLN STREET
Practice Address - Street 2:INTERNAL MEDICINE DEPARTMENT.
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702
Practice Address - Country:US
Practice Address - Phone:508-383-1330
Practice Address - Fax:508-383-8582
Is Sole Proprietor?:No
Enumeration Date:2019-07-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA279916207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine