Allergy & Asthma Clinic, P.C.
Organization Active NPI Specialist · Lexington, MA
NPI 1861536096 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1861536096
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- ALLERGY & ASTHMA CLINIC, P.C.
- Practice address
- 16 Clarke St
Lexington, MA 02421-4988 - Phone
- (781) 861-2049
- Fax
- (781) 861-1502
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Hana M Laznickova, M.D.
- Title
- President
- Phone
- (781) 861-2049
Practitioners 1
-
Hana M Laznickova, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260112003205 | MA | Part B Supplier - Clinic/Group Practice | 4082190723 |
Receives reassigned benefits from 1 practitioner Practice locations: Lexington, MA |
National Provider Directory
Locations
16 Clarke St
Ste 22
Lexington, MA 02421
Phone (781) 861-2049
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M18907 | Other | MA | BCBS PRACTICE ID |
Other providers in Lexington, MA
- Lauren Elizabeth Alessi
- All-in-One Home Healthcare
- Daniel Allen
- Kristy Allen
- Taylor Jordan Allen
- Alliance Therapy Associates, LLC
- Charles Matthew Alperin
- Adam Alt
- Alta Chiropractic Inc
- Sari Alter
All providers in Lexington, MA · Specialist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.