Provider Demographics
NPI:1124784665
Name:DIPILLO, LAUREN N
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:N
Last Name:DIPILLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 LEBANON ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01603-1304
Mailing Address - Country:US
Mailing Address - Phone:781-548-1384
Mailing Address - Fax:
Practice Address - Street 1:76 SUMMER ST STE 232
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-5788
Practice Address - Country:US
Practice Address - Phone:978-602-4957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst