Provider Demographics
NPI:1548358930
Name:HANDELMAN, LAUREN M (MD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:M
Last Name:HANDELMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:79 ERDMAN WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453
Mailing Address - Country:US
Mailing Address - Phone:978-537-4805
Mailing Address - Fax:978-537-2185
Practice Address - Street 1:1400 CENTRE STREET
Practice Address - Street 2:SUITE 104
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459
Practice Address - Country:US
Practice Address - Phone:617-765-0228
Practice Address - Fax:617-340-6466
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2015-08-03
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Provider Licenses
StateLicense IDTaxonomies
MA156215207K00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0123692Medicaid
MA0123692Medicaid
H51314Medicare UPIN