Active NPIIndividual provider

Dr. Laura Archibald, MD

Dermatology, MOHS-Micrographic Surgery in Leominster, Massachusetts

NPI Number1790348472
Practice location
80 Erdman Way Ste 100, Leominster, MA 01453-1840
Fax
978-627-3923
Last updated
April 24, 2026

Laura Archibald is a Dermatology, MOHS-Micrographic Surgery based in Leominster, MA. Laura Archibald practices in Leominster, MA and has the professional credentials of MD. The NPI Number for Laura Archibald is 1790348472 and holds a License No. 1023399 (MA). The current practice location address for Laura Archibald is 80 Erdman Way Ste 100, Leominster, MA 01453-1840 and can be reached out via phone at 978-751-9280 and via fax at 978-627-3923.

Provider Profile Details

NPI Number
1790348472
Provider Name
Laura Archibald
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
80 Erdman Way Ste 100, Leominster, MA 01453-1840
Phone Number
978-751-9280
Fax Number
978-627-3923
Primary Taxonomy
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
Sole Proprietor
No
Other Names
Dr. Laura Joy Kooistra (Former Name)
Provider Enumeration Date
April 17, 2019
Last Update Date
April 24, 2026
Certification Date
April 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Erdman Way Ste 100
Leominster, MA 01453-1840
Zip
01453-1840
Phone Number
978-751-9280
Fax Number
978-627-3923
Leominster, MA 01453Get directions →

Provider Business Mailing Address Details

Address
526 Main St Ste 302
Acton, MA 01720-3301
City
Acton
State
MA
Zip
01720-3301
Phone Number
978-371-7010
Fax Number
978-371-0522

License Information

License Number (1)
1023399
License State (1)
MA
Taxonomy (1)
Dermatology, MOHS-Micrographic Surgery · 207ND0101X · Primary
License Number (2)
1023399
License State (2)
MA
Taxonomy (2)
Dermatology · 207N00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Laura Archibald, MD?

The NPI number of Dr. Laura Archibald, MD is 1790348472. It was assigned on April 17, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Laura Archibald, MD?

Dr. Laura Archibald, MD is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in MA under license number 1023399.

Where does Dr. Laura Archibald, MD practice?

The practice location is 80 Erdman Way Ste 100, Leominster, MA 01453-1840. The office can be reached at 978-751-9280 (phone) or 978-627-3923 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790348472 directly on the NPPES registry website.

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