Laraja, Kristin M

Laraja, Kristin M is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Laraja, Kristin M can be contacted via phone (774) 441-8080.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Fax: (508) 856-8125
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 260176 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 260176 Massachusetts

Profile Details

NPI number 1487856589
LBN Legal business name Laraja, Kristin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Nov 13th, 2020 - about 4 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 1487856589 NPPES
Massachusetts MEDICAID 110085892A

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