| NPI | 1710627237 |
|---|---|
| Former Legal Business Name | HARBOR INTERVENTIONAL PAIN CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LESTER LACY Principal 413-218-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |