NPI | 1043710791 |
---|---|
Former Legal Business Name | LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC |
Entity Type | Organization |
Authorized Contact | ELIZABETH H JOHNSON President 781-744-1947 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208800000X Urology |
Enumeration Date | 2018-02-20 |
Last Update Date | 2022-11-07 |