Susan Lawruk

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

116XTN Issued in MA

Practice address

22 Old Canal Dr
Lowell, MA 01851-2730

Phone

(978) 452-5155

Fax

(978) 937-8177

NPI assigned

Jun 4, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Habit Opco, LLC

  dba Habit OPCO- Springfield

  • Methadone Clinic
  • Springfield, MA
  • NPI 1023175072
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1194392639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD CANAL DR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512730",
            "telephone_number": "978-452-5155",
            "fax_number": "978-937-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD CANAL DR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512730",
            "telephone_number": "978-452-5155",
            "fax_number": "978-937-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRUK",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN61752",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "MA",
            "license": "116XTN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.lawruk@ctcprograms.com",
            "affiliation": "N",
            "address_1": "22 Old Canal Dr",
            "city": "Lowell",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018512730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin Lavidor, LICSW
• Lisa Lavigne
• Avram Lavinsky, PT
• Lavish Care LLC
• Trisha A. Lawrence, CNP
• Julie M Le, OD
• Kyro Le
• Leahey Eye Clinic
• Danielle Leahy
• Ashley Marie Leal

• Licensed Vocational Nurse in Lowell, MA
• Providers in Lowell, MA by specialty
• Licensed Vocational Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.