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NPI Code Detail

MEDICARE: LGH HEALTH ENTERPRISES INC.

MEDICARE: LGH HEALTH ENTERPRISES INC.
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
1261QR0200XRadiology Clinic/Center08733MA

General Provider Information

NPI Number : 1730140112
Entity Type Code : Organization
Provider Name (Legal Business Name) : LGH HEALTH ENTERPRISES INC.
Provider Business Mailing Address
First Line : 140 HAVERHILL ST
Second Line :
City : ANDOVER
State : MA
Zip : 01810-1504
Country : US
Telephone Number : 978-475-5213
Fax Number : 978-475-6765
Provider Business Practice Location Address
First Line : 140 HAVERHILL ST
Second Line :
City : ANDOVER
State : MA
Zip : 01810-1504
Country : US
Telephone Number : 978-475-5213
Fax Number : 978-475-6765
Authorized Official
Title or Position : DIRECTOR-MANAGED CARE DEPT.
Name : MRS. ANDREA SULLIVAN
Credential :
Telephone Number : 978-683-4000
Provider Enumeration Date : 03/28/2006
Last Update Date : 05/14/2012

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Directions to “LGH HEALTH ENTERPRISES INC. ” Practice Location

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