Balestrero, Lori M

Balestrero, Lori M is an individual health care provider with primary practice located at 330 Mt Auburn St Hospitalist Services, Cambridge MA 02138. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Balestrero, Lori M can be contacted via phone (617) 499-5112.

Contact Information

Primary practice address
330 Mt Auburn St Hospitalist Services Cambridge MA 02138
Fax: (617) 575-8608
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 205603 Massachusetts

Profile Details

NPI number 1750384046
LBN Legal business name Balestrero, Lori M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Aug 14th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750384046 NPPES
Massachusetts MEDICAID 0109321

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