Healthcare Provider Details

I. General information

NPI: 1285060616
Provider Name (Legal Business Name): ZAREEN LAKHANI BARRY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2013
Last Update Date: 09/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N MAIN ST
CHARLTON MA
01507-1590
US

IV. Provider business mailing address

PO BOX 40
SOUTHBRIDGE MA
01550-0040
US

V. Phone/Fax

Practice location:
  • Phone: 508-248-3015
  • Fax: 508-248-4734
Mailing address:
  • Phone: 508-909-7799
  • Fax: 508-909-7750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2275019
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: