| NPI | 1174821532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRI LEGACY Registered Nurse 617-575-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA RN267929) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |