Lax, Timothy

Lax, Timothy is an individual health care provider with primary practice located at 1 Brookline Pl Suite 623, Brookline MA 02445-7224. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Lax, Timothy can be contacted via phone (617) 278-8100.

Contact Information

Primary practice address
1 Brookline Pl Suite 623 Brookline MA 02445-7224
Phone: (617) 278-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 036120469 Illinois
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 248449 Massachusetts
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 248449 Massachusetts

Profile Details

NPI number 1487810156
LBN Legal business name Lax, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2008
Last updated Jul 7th, 2015 - about 9 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 1487810156 NPPES
Illinois Other 036120469 MEDICAL LICENSE NUMBER
Illinois Other 248449 MEDICAL LICENSE NUMBER

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