Healthcare Provider Details

I. General information

NPI: 1316985807
Provider Name (Legal Business Name): LGH CANCERCARE ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 VARNUM AVE
LOWELL MA
01854-2134
US

IV. Provider business mailing address

PO BOX 2200
AMHERST NH
03031-4200
US

V. Phone/Fax

Practice location:
  • Phone: 978-937-6650
  • Fax: 978-937-6890
Mailing address:
  • Phone: 603-673-9411
  • Fax: 603-673-9899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD JEFFCOTE
Title or Position: C.F.O.
Credential:
Phone: 978-937-6000