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NPI Code Detail

MEDICARE: INSTITUTE FOR LEARNING AND DEVELOPMENT

MEDICARE: INSTITUTE FOR LEARNING AND DEVELOPMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD1600XDevelopmental Disabilities Clinic/Center3005MA

General Provider Information

NPI Number : 1538366778
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSTITUTE FOR LEARNING AND DEVELOPMENT
Provider Business Mailing Address
First Line : 125 HARTWELL AVE
Second Line :
City : LEXINGTON
State : MA
Zip : 02421-3100
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 125 HARTWELL AVE
Second Line :
City : LEXINGTON
State : MA
Zip : 02421-3100
Country : US
Telephone Number : 781-861-3711
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. LYNN MELTZER
Credential :
Telephone Number : 781-861-3711
Provider Enumeration Date : 06/29/2007
Last Update Date : 07/30/2007

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Directions to “INSTITUTE FOR LEARNING AND DEVELOPMENT ” Practice Location

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