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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366465601 | NPPES |
| Massachusetts | MEDICAID | 110049753A | |
| Massachusetts | MEDICAID | 3076571 |
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