Provider Demographics
NPI:1811951890
Name:LAWRENCE, JANET MARION (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:MARION
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:MARION
Other - Last Name:ZWANZIGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:275 GROVE ST
Mailing Address - Street 2:2-400
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-2272
Mailing Address - Country:US
Mailing Address - Phone:617-855-2975
Mailing Address - Fax:617-630-9695
Practice Address - Street 1:275 GROVE ST
Practice Address - Street 2:2-400
Practice Address - City:AUBURNDALE
Practice Address - State:MA
Practice Address - Zip Code:02466-2272
Practice Address - Country:US
Practice Address - Phone:617-855-2975
Practice Address - Fax:617-630-9695
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA513342084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALAJ02357Medicare UPIN