Provider Demographics
NPI:1366880882
Name:GARABEDIAN, LAURIE ANNE (DO)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:ANNE
Last Name:GARABEDIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:70 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-5312
Mailing Address - Country:US
Mailing Address - Phone:508-543-6371
Mailing Address - Fax:508-543-3347
Practice Address - Street 1:70 WALNUT ST
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-5312
Practice Address - Country:US
Practice Address - Phone:508-543-6371
Practice Address - Fax:508-543-3347
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA267276207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RES000Medicare PIN