Individual provider · Type 1 NPI

Lawrence Jordan Breyfogle, MD

Student in an Organized Health Care Education/Training Program · Cambridge, MA

NPI number 1710509872 Active

Practice location

330 Mount Auburn St
Cambridge, MA 02138-5502

Call (617) 499-5070 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351046184 (MI)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1710509872

Lawrence Jordan Breyfogle, MD's National Provider Identifier is 1710509872, issued on May 12, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cambridge, MA. The record was last updated on May 21, 2026.