Healthcare Provider Details

I. General information

NPI: 1942506415
Provider Name (Legal Business Name): LAWRENCE GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2011
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GENERAL ST
LAWRENCE MA
01841-2961
US

IV. Provider business mailing address

1 GENERAL ST
LAWRENCE MA
01841-2961
US

V. Phone/Fax

Practice location:
  • Phone: 978-683-4000
  • Fax: 978-946-2811
Mailing address:
  • Phone: 978-683-4000
  • Fax: 978-946-8137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN WHITLOCK
Title or Position: CFO
Credential:
Phone: 978-683-4000