MEDICARE: JOSEPH EDWARD LELLMAN MD

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
1	207X00000X	Orthopaedic Surgery Physician	74823	MA

General Provider Information

NPI Number	:	1750360145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH EDWARD LELLMAN MD

Provider Business Mailing Address
First Line	:	280 CHESTNUT ST
Second Line	:	2ND FLOOR
City	:	SPRINGFIELD
State	:	MA
Zip	:	01199-1001
Country	:	US
Telephone Number	:	413-794-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 WRIGHT ST
Second Line	:
City	:	PALMER
State	:	MA
Zip	:	01069-1138
Country	:	US
Telephone Number	:	413-370-5356
Fax Number	:	413-370-5775

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	03/29/2021

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