PREMISE HEALTH OF MASSACHUSETTS MEDICAL PC NPI 1619238797

NPI Information

NPI: 1619238797
Provider Name: PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC

Doing Business As: LAHEY CLINIC- EMPLOYEE HEALTH DEPARTMENT

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
41 MALL RD
BURLINGTON, MA
ZIP 01805
Phone: (781) 744-8796
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PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC is an occupational medicine clinic center in Burlington, MA. PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC NPI is 1619238797. The provider is registered as an organization entity type.
The provider Is Doing Business As Lahey Clinic- Employee Health Department.

The provider's business location address is:

41 MALL RD
BURLINGTON, MA
ZIP 01805-001
Phone: (781) 744-8796
Fax: (781) 744-5044

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The enumeration date for this NPI number is 6/5/2012 and was last updated on 8/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			No
2	261QX0100X	Clinic/Center	Occupational Medicine			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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