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1831659713
LAUREL LYNN BANACH
WORCESTER, MA
NPI
1831659713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MA 290292)
Enumeration Date
2019-03-25
Last Update Date
2023-12-27
Business Address
LAUREL LYNN BANACH MD
119 BELMONT ST
WORCESTER, MA 01605-2903
Phone number: 508-334-8942
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Mailing Address
LAUREL LYNN BANACH MD
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: 800-225-8885
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