Lakritz, Kenneth

Lakritz, Kenneth is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Road, Burlington MA 01805-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lakritz, Kenneth can be contacted via phone (781) 744-8925.

Contact Information

Primary practice address
Lahey Clinic 41 Mall Road Burlington MA 01805-0001
Phone: (781) 744-8925
Fax: (781) 744-5235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 44565 Massachusetts

Profile Details

NPI number 1366465601
LBN Legal business name Lakritz, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Nov 16th, 2010 - about 14 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 1366465601 NPPES
Massachusetts MEDICAID 110049753A
Massachusetts MEDICAID 3076571

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