Provider Demographics
NPI:1285621144
Name:KLEIN, LAURENCE H (MD)
Entity type:Individual
Prefix:
First Name:LAURENCE
Middle Name:H
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BURNHAM ST
Mailing Address - Street 2:CONNECTICUT RIVER INTERNISTS
Mailing Address - City:TURNERS FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01376-1816
Mailing Address - Country:US
Mailing Address - Phone:413-774-5554
Mailing Address - Fax:413-775-9137
Practice Address - Street 1:8 BURNHAM ST
Practice Address - Street 2:CONNECTICUT RIVER INTERNISTS
Practice Address - City:TURNERS FALLS
Practice Address - State:MA
Practice Address - Zip Code:01376-1816
Practice Address - Country:US
Practice Address - Phone:413-774-5554
Practice Address - Fax:413-775-9137
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA46101207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0137626Medicaid
MAG14124OtherBCBS
B74064Medicare UPIN
MAG14124OtherBCBS