Active NPI
Hana M Laznickova, M.D.
- Allergy & Immunology Physician
- Lexington, MA
National Provider Identifier
1740324987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 155111
- Practice address
- 16 Clarke St
Lexington, MA 02421-4988 - Phone
- (781) 861-2049
- Fax
- (781) 861-1502
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 155111 | MA | Primary |
| Allergy Physician | 207KA0200X | 155111 | MA | |
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 207KI0005X | 155111 | MA |
Addresses
Primary practice location
16 Clarke St
Lexington, MA 02421-4988
Mailing address
16 Clarke St
Lexington, MA 02421-4988
Phone (781) 861-2049
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51340 | Other | MA | FALLON |
| AA11049 | Other | MA | HARVARD PILGRIM |
| J22438 | Other | MA | BLUE CROSS BLUE SHIELD |
| 155111 | Other | MA | MA STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
16 Clarke St
Suite 22
Lexington, MA 02421-4938
16 Clarke St
Suite 22
Lexington, MA 02421-4948
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155111 | MA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Clinic, P.C. | Current | Accepting new patients | |
| Allergy & Asthma Specialists, LLC | Allergy & Immunology | Past | Accepting new patients |
Locations
16 Clarke St
Lexington, MA 02421
Phone (781) 402-2442
16 Clarke St
Ste 22
Lexington, MA 02421
Phone (781) 861-2049
Organizations & group practices 2
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.
-
- Specialist
- Lexington, MA
- NPI 1861536096
-
- Allergy & Immunology Physician
- Chelmsford, MA
- NPI 1497151666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1740324987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CLARKE ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024214988",
"telephone_number": "781-861-2049",
"fax_number": "781-861-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 CLARKE ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024214988",
"telephone_number": "781-861-2049",
"fax_number": "781-861-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZNICKOVA",
"first_name": "HANA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MA",
"license": "155111",
"primary": true
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "MA",
"license": "155111",
"primary": false
},
{
"code": "207KI0005X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
"state": "MA",
"license": "155111",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "51340",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA11049",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J22438",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA STATE LICENSE",
"identifier": "155111",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.