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NPI Code Detail

MEDICARE: DR. NATALIE LEONID LENDER M.D.

MEDICARE: DR. NATALIE LEONID LENDER 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 Physician152859MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740371038
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATALIE LEONID LENDER M.D.
Provider Business Mailing Address
First Line : 124 WATERTOWN ST
Second Line : SUITE 2 D
City : WATERTOWN
State : MA
Zip : 02472-2576
Country : US
Telephone Number : 617-916-5069
Fax Number : 617-467-4073
Provider Business Practice Location Address
First Line : 124 WATERTOWN ST
Second Line : SUITE 2 D
City : WATERTOWN
State : MA
Zip : 02472-2576
Country : US
Telephone Number : 617-916-5069
Fax Number : 617-467-4073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 06/01/2016

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