Basic Information
Provider Information
NPI: 1477527919
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANOWICZ
FirstName: LAWRENCE
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: LAHEY CLINIC
Address2: 41 MALL ROAD
City: BURLINGTON
State: MA
PostalCode: 018050001
CountryCode: US
TelephoneNumber: 7817448132
FaxNumber: 7817442273
Practice Location
Address1: LAHEY CLINIC
Address2: 41 MALL ROAD
City: BURLINGTON
State: MA
PostalCode: 018050001
CountryCode: US
TelephoneNumber: 7817448132
FaxNumber: 7817442273
Other Information
ProviderEnumerationDate: 02/13/2006
LastUpdateDate: 04/07/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X226286MAY Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X042-0010981VTN Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
110073650A05MA MEDICAID


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