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Innokentiy Bakaev, MD
Family Medicine Physician in Lawrence, Massachusetts
NPI 1942430608

Innokentiy Bakaev is a Family Medicine Physician based in Lawrence, MA. Innokentiy Bakaev practices in Lawrence, MA and has the professional credentials of MD. The NPI Number for Innokentiy Bakaev is 1942430608 and holds a License No. 2395431 (Massachusetts).

The current practice location address for Innokentiy Bakaev is 150 Park St, Lawrence, MA and can be reached out via phone at 978-685-1770 and via fax at 978-682-5787.

Location: 150 Park St, Lawrence, MA, 01841-2517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942430608
Provider Name
Innokentiy Bakaev
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 Park St, Lawrence, MA, 01841-2517
Phone Number
978-685-1770
Fax Number
978-682-5787
Provider Enumeration Date
07/15/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
150 Park St
City
Lawrence
State
Massachusetts
Zip
01841-2517
Phone Number
978-685-1770
Fax Number
978-682-5787
person
Provider Business Mailing Address Details
Address
150 Park St
City
Lawrence
State
Massachusetts
Zip
01841-2517
Phone Number
978-685-1770
Fax Number
978-682-5787
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
254840 (Massachusetts)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2395431 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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