| NPI | 1508244195 |
|---|---|
| Former Legal Business Name | LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC |
| Entity Type | Organization |
| Authorized Contact | DAVID L LONGWORTH CEO 781-744-8097 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2019-12-23 |