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NPI Code Detail

MEDICARE: LAWRENCE H CLIMO M.D.

MEDICARE: LAWRENCE H CLIMO M.D.
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
12084P0800XPsychiatry Physician32513MA

General Provider Information

NPI Number : 1043379266
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE H CLIMO M.D.
Provider Business Mailing Address
First Line : 129 SALEM ST
Second Line :
City : ANDOVER
State : MA
Zip : 01810-2210
Country : US
Telephone Number : 800-453-3030
Fax Number :
Provider Business Practice Location Address
First Line : COMPHEALTH 4021 SOUTH 700 EAST
Second Line : SUITE 300
City : SALT LAKE CITY
State : UT
Zip : 84107-2184
Country : US
Telephone Number : 800-453-3030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 07/08/2007

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