Mrs Lori Lee Georgeson, MD | |
49 State Rd Ste 202, North Dartmouth, MA 02747-3322 | |
(508) 973-9240 | |
(508) 973-0306 |
Full Name | Mrs Lori Lee Georgeson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 49 State Rd Ste 202, North Dartmouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154387355 | NPI | - | NPPES |
2783500 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 206554 (Massachusetts) | Primary |
Entity Name | Southcoast Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lori Lee Georgeson, MD 200 Mill Rd, Fairhaven, MA 02719-5252 Ph: (508) 973-2000 | Mrs Lori Lee Georgeson, MD 49 State Rd Ste 202, North Dartmouth, MA 02747-3322 Ph: (508) 973-9240 |
Deborah Leigh Ondrasik, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 49 State Rd, North Dartmouth, MA 02747 Phone: 508-973-9240 Fax: 508-973-0306 | |
Dr. Lawrence R Dehner, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 49 State Road, Nauset Bldg, North Dartmouth, MA 02747 Phone: 508-973-9240 Fax: 508-973-0306 | |
Elizabeth Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 49 State Road, Nauset Bldg, Suite 202, North Dartmouth, MA 02747 Phone: 089-739-2405 | |
Dr. Kristen M Prescott, MD, IBCLC, FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 49 State Rd Ste 202, North Dartmouth, MA 02747 Phone: 508-973-9240 Fax: 508-973-0306 | |
Dr. Mohsen A Elhaddad, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49 State Rd, Pequot Bldg #201, North Dartmouth, MA 02747 Phone: 508-961-1644 Fax: 508-984-5893 |