Siegel, Lawrence D.

Siegel, Lawrence D. is an sole proprietor health care provider with primary practice located at 300 Needham St #4, Newton MA 02464-1532. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Siegel, Lawrence D. can be contacted via phone (617) 232-0220.

Contact Information

Primary practice address
300 Needham St #4 Newton MA 02464-1532
Fax: (617) 734-9738
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3545 Massachusetts

Profile Details

NPI number 1699779520
LBN Legal business name Siegel, Lawrence D.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated May 14th, 2021 - about 3 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 1699779520 NPPES
Massachusetts MEDICAID 110016311A

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