Lisa M Blazejewski, MS,CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

200 Forest St
Marlborough, MA 01752-3023

Phone

(774) 843-3568

NPI assigned

Oct 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1326037490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TREETOP PARK",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811149",
            "telephone_number": "508-366-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FOREST ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523023",
            "telephone_number": "774-843-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZEJEWSKI",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "MS,CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Therese Blanchard, MA
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• Monique Blocker
• Robert Ethan Bloom, MSW
• Blooming Belly Doula
• Blueprint Genetics Inc. (Athena Diagnostics)
• Benedicta Boakye

• Genetic Counselor (M.S.) in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Genetic Counselor (M.S.) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.