Lauren Bonczek, AU.D.
Individual provider Active NPI Audiologist · Leeds, MA
NPI 1619224920 · NPPES record last updated Jul 25, 2025
Key facts
- NPI
- 1619224920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 1091 (MA)
- Practice address
- 421 N Main St
Leeds, MA 01053-9764 - Phone
- (413) 582-3090
- NPI assigned
- Aug 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1091 | MA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Ear, Nose & Throat Associates, P.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1091 | MA | Yes |
Addresses
Primary practice location
421 N Main St
Leeds, MA 01053-9764
Mailing address
421 N Main St
Leeds, MA 01053-9764
Phone (413) 582-3090
Other providers in Leeds, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.