LAUREL LYNN BANACH MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1831659713- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 119 BELMONT ST, WORCESTER, MA, 016052903
- Phone
- (508) 334-8942
- Fax
- (508) 334-6490
Specialties & Taxonomies
Family Medicine
Primary License: MA #290292