| Greater Lawrence Family Health Center, Inc. | |
|
34 Haverhill St Lawrence MA 01841-2884 | |
| (978) 689-6683 | |
| (978) 687-2106 |
| Full Name | Greater Lawrence Family Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 34 Haverhill St, Lawrence, Massachusetts |
| Authorized Official Name and Position | Karin Bernard (PROJECT MANAGER) |
| Authorized Official Contact | 9786896683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Lawrence Family Health Center, Inc. 34 Haverhill St Lawrence MA 01841-2884 Ph: (978) 689-6683 | Greater Lawrence Family Health Center, Inc. 34 Haverhill St Lawrence MA 01841-2884 Ph: (978) 689-6683 |
| NPI Number | 1699774646 |
|---|---|
| Provider Enumeration Date | 07/20/2005 |
| Last Update Date | 04/28/2020 |
| Medicare PECOS PAC ID | 0446221956 |
|---|---|
| Medicare Enrollment ID | O20040805001067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699774646 | NPI | - | NPPES |
| 1303775 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4943 (Massachusetts) | Primary |
| Provider Name | Katrin Schneck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679565923 PECOS PAC ID: 4385635945 Enrollment ID: I20040521000477 |
| Provider Name | Nelly Padua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568457083 PECOS PAC ID: 8729062773 Enrollment ID: I20040616000974 |
| Provider Name | Jean M Tabit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740271683 PECOS PAC ID: 8921074881 Enrollment ID: I20040902000821 |
| Provider Name | Stephen Buttenwieser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184609570 PECOS PAC ID: 2860461209 Enrollment ID: I20041001000217 |
| Provider Name | Anthony F Valdini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144216193 PECOS PAC ID: 7012976111 Enrollment ID: I20041005000748 |
| Provider Name | Blair Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316933005 PECOS PAC ID: 8729047709 Enrollment ID: I20041006000046 |
| Provider Name | Caren G Jacobson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992797245 PECOS PAC ID: 8325007107 Enrollment ID: I20041007000328 |
| Provider Name | Laurel A Ruzicka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376544619 PECOS PAC ID: 4082673793 Enrollment ID: I20041007000589 |
| Provider Name | Cara D Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609877927 PECOS PAC ID: 9335108059 Enrollment ID: I20041007000615 |
| Provider Name | Jeffrey G Miner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760477046 PECOS PAC ID: 6901865542 Enrollment ID: I20041008000035 |
| Provider Name | Eloise E Edgings Pryce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245223585 PECOS PAC ID: 8820057417 Enrollment ID: I20041008000425 |
| Provider Name | Ellen Lynch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982695805 PECOS PAC ID: 3173582772 Enrollment ID: I20041008000533 |
| Provider Name | John V Chang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679557326 PECOS PAC ID: 6002863842 Enrollment ID: I20050405000273 |
| Provider Name | Paul Esielionis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003801523 PECOS PAC ID: 3678510278 Enrollment ID: I20050414001048 |
| Provider Name | Amy L Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952369878 PECOS PAC ID: 9335170430 Enrollment ID: I20050829000638 |
| Provider Name | Paulina M Fernandes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205817269 PECOS PAC ID: 8224053962 Enrollment ID: I20051011001017 |
| Provider Name | Anne Rodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063534998 PECOS PAC ID: 5799700415 Enrollment ID: I20051012000290 |
| Provider Name | Thomas C Bond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972593648 PECOS PAC ID: 8820082829 Enrollment ID: I20051105000264 |
| Provider Name | Laxmi Ramesh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366429847 PECOS PAC ID: 1759303829 Enrollment ID: I20060104000022 |
| Provider Name | Lisa R Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164552360 PECOS PAC ID: 0547284051 Enrollment ID: I20060124000445 |
| Provider Name | Susan S Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215002001 PECOS PAC ID: 8820002207 Enrollment ID: I20060206000834 |
| Provider Name | Steven W Greer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528093788 PECOS PAC ID: 1557378114 Enrollment ID: I20060307000799 |
| Provider Name | James Meyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952369332 PECOS PAC ID: 0446254627 Enrollment ID: I20060830000264 |
| Provider Name | Zandra S Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427082296 PECOS PAC ID: 4587661715 Enrollment ID: I20061101000449 |
| Provider Name | Maria E Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023124880 PECOS PAC ID: 5496753964 Enrollment ID: I20061116000226 |
| Provider Name | Henry J Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801874177 PECOS PAC ID: 6204804198 Enrollment ID: I20061117000100 |
| Provider Name | Elane D Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821131749 PECOS PAC ID: 2860597515 Enrollment ID: I20070425000261 |
| Provider Name | Afsaneh A Mozafari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447469390 PECOS PAC ID: 9133210255 Enrollment ID: I20070803000384 |
| Provider Name | Andrew J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427255801 PECOS PAC ID: 9830280684 Enrollment ID: I20070808000222 |
| Provider Name | Julie A Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033317276 PECOS PAC ID: 4880785492 Enrollment ID: I20070811000043 |
| Provider Name | Nirmala Sambangi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801806542 PECOS PAC ID: 7012913197 Enrollment ID: I20070824000296 |
| Provider Name | Robert C Mckersie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376579458 PECOS PAC ID: 1951304393 Enrollment ID: I20071001000608 |
| Provider Name | Ainex M Baez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215135439 PECOS PAC ID: 4183713266 Enrollment ID: I20071128000322 |
| Provider Name | Vincent Waite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932194032 PECOS PAC ID: 6204847536 Enrollment ID: I20080118000122 |
| Provider Name | Joyce M Landers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952501199 PECOS PAC ID: 6305920182 Enrollment ID: I20080304000095 |
| Provider Name | Richard M Glatz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053310797 PECOS PAC ID: 1658396924 Enrollment ID: I20080815000383 |
| Provider Name | Jennifer Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972642981 PECOS PAC ID: 1052479334 Enrollment ID: I20081015000743 |
| Provider Name | Marion V Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801126057 PECOS PAC ID: 6709915929 Enrollment ID: I20100527000057 |
| Provider Name | Xenia J Johnson Bhembe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831256379 PECOS PAC ID: 6305976697 Enrollment ID: I20100614000019 |
| Provider Name | Mia Sorcinelli Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538362074 PECOS PAC ID: 0840324802 Enrollment ID: I20100813000156 |
| Provider Name | Carolyn L Augart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629065040 PECOS PAC ID: 5294869913 Enrollment ID: I20100817001216 |
| Provider Name | Keith Nokes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659366169 PECOS PAC ID: 1254457468 Enrollment ID: I20100924001028 |
| Provider Name | Christine Rooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063413383 PECOS PAC ID: 9931225067 Enrollment ID: I20100927000908 |
| Provider Name | Alan Marc Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669569703 PECOS PAC ID: 4587856828 Enrollment ID: I20101005001194 |
| Provider Name | Suhani Bora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891919379 PECOS PAC ID: 7810189503 Enrollment ID: I20101013000882 |
| Provider Name | Katherine Stanton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851662159 PECOS PAC ID: 3678736071 Enrollment ID: I20120522001338 |
| Provider Name | Dariana Soto-reyes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508160813 PECOS PAC ID: 7517118797 Enrollment ID: I20121116000175 |
| Provider Name | Katherine Np Savastano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063768612 PECOS PAC ID: 1052563186 Enrollment ID: I20121218000214 |
| Provider Name | Sylvia E Cata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730425612 PECOS PAC ID: 3870738966 Enrollment ID: I20130320000265 |
| Provider Name | Ryan Dono |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467764472 PECOS PAC ID: 4789828641 Enrollment ID: I20130913000562 |
| Provider Name | Elise Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134431257 PECOS PAC ID: 2668616210 Enrollment ID: I20130920000358 |
| Provider Name | Jean I Toussaint |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790025930 PECOS PAC ID: 1951538578 Enrollment ID: I20131205001078 |
| Provider Name | John Torro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003186172 PECOS PAC ID: 1951538404 Enrollment ID: I20131209001018 |
| Provider Name | Christie Langenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013172709 PECOS PAC ID: 5294906939 Enrollment ID: I20140822001369 |
| Provider Name | Lauren M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871900530 PECOS PAC ID: 5890017693 Enrollment ID: I20141205001383 |
| Provider Name | Leyna Bautista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083796635 PECOS PAC ID: 5193859759 Enrollment ID: I20150330000037 |
| Provider Name | Deborah Deangelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669882593 PECOS PAC ID: 9133447477 Enrollment ID: I20150416000662 |
| Provider Name | Ciaran A Dellafera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144582552 PECOS PAC ID: 8224266184 Enrollment ID: I20150731015857 |
| Provider Name | Nicholas Weida |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215298344 PECOS PAC ID: 7810214962 Enrollment ID: I20151202002421 |
| Provider Name | Iris E Gwynne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407238975 PECOS PAC ID: 6901107416 Enrollment ID: I20151228001797 |
| Provider Name | Elise Laflamme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124380548 PECOS PAC ID: 0143468884 Enrollment ID: I20160718002192 |
| Provider Name | Ryan Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467879551 PECOS PAC ID: 9436450939 Enrollment ID: I20160721002423 |
| Provider Name | Katrina Baumgartner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457613887 PECOS PAC ID: 3375781024 Enrollment ID: I20161012001830 |
| Provider Name | Maria Dalomba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548704828 PECOS PAC ID: 2769764331 Enrollment ID: I20170117001726 |
| Provider Name | Tania Maria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922432111 PECOS PAC ID: 6608159280 Enrollment ID: I20170206000212 |
| Provider Name | Suzanne E Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063730448 PECOS PAC ID: 1153564737 Enrollment ID: I20170214000563 |
| Provider Name | Erin M Bassett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578902300 PECOS PAC ID: 4789828294 Enrollment ID: I20170811000903 |
| Provider Name | Erick Banuelos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013266790 PECOS PAC ID: 7911273503 Enrollment ID: I20171026001308 |
| Provider Name | Lesly C Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154831501 PECOS PAC ID: 5890053615 Enrollment ID: I20171227000366 |
| Provider Name | Hannah Plum Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043452113 PECOS PAC ID: 5597025981 Enrollment ID: I20180202001410 |
| Provider Name | Tanya D Campus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932175049 PECOS PAC ID: 1951371228 Enrollment ID: I20180730000250 |
| Provider Name | Krenie Stowe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720299456 PECOS PAC ID: 0143459388 Enrollment ID: I20180904003038 |
| Provider Name | Jonathan Lichkus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194138883 PECOS PAC ID: 5294057402 Enrollment ID: I20181005001028 |
| Provider Name | Jessica C Reader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467871095 PECOS PAC ID: 3173806825 Enrollment ID: I20181015001168 |
| Provider Name | Joshua H St. Louis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437562121 PECOS PAC ID: 9032431309 Enrollment ID: I20181015001653 |
| Provider Name | Jennifer A Somers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679700256 PECOS PAC ID: 2769636687 Enrollment ID: I20190110001668 |
| Provider Name | Chelsea Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164803185 PECOS PAC ID: 7810200763 Enrollment ID: I20191025001742 |
| Provider Name | Diane Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881075810 PECOS PAC ID: 3476867276 Enrollment ID: I20191115002759 |
| Provider Name | Diora Guzman Marte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609491190 PECOS PAC ID: 2163840232 Enrollment ID: I20200922002494 |
| Provider Name | Sumana Setty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710417563 PECOS PAC ID: 8820368244 Enrollment ID: I20210510001008 |
| Provider Name | Azmina Bhayani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851730683 PECOS PAC ID: 3971737545 Enrollment ID: I20210824002977 |
| Provider Name | Layla Cavitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356871974 PECOS PAC ID: 1153693858 Enrollment ID: I20210824003182 |
| Provider Name | Caroline Komanecky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972033710 PECOS PAC ID: 4486924859 Enrollment ID: I20211124001198 |
| Provider Name | Claire C Russo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003570789 PECOS PAC ID: 8224428966 Enrollment ID: I20211211000118 |
| Provider Name | Tuhin Roy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568992311 PECOS PAC ID: 4789954249 Enrollment ID: I20220131001724 |
| Provider Name | Ricardo Jose Camacho Vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619462157 PECOS PAC ID: 4880087121 Enrollment ID: I20220208002612 |
| Provider Name | Jennifer Wolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316477177 PECOS PAC ID: 7416227830 Enrollment ID: I20220216000853 |
| Provider Name | Elsa A Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720658313 PECOS PAC ID: 5597159517 Enrollment ID: I20220308000966 |
| Provider Name | Taylor Howlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174068340 PECOS PAC ID: 9436543428 Enrollment ID: I20220309000454 |
| Provider Name | Jessica Planamento |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023576816 PECOS PAC ID: 9335533322 Enrollment ID: I20220309000483 |
| Provider Name | Wanda Marelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538789003 PECOS PAC ID: 6608263637 Enrollment ID: I20220421002276 |
| Provider Name | Jelissa Semprit |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073128955 PECOS PAC ID: 0648651109 Enrollment ID: I20220715001006 |
| Provider Name | Natalie Elena Stahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598115750 PECOS PAC ID: 8325332828 Enrollment ID: I20220811002601 |
| Provider Name | Eliana Costantino Burgazzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619408218 PECOS PAC ID: 1850715178 Enrollment ID: I20220829003456 |
| Provider Name | Alexander James Ocampo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720498140 PECOS PAC ID: 3870712177 Enrollment ID: I20220831000151 |
| Provider Name | Rebecca Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144714817 PECOS PAC ID: 4789936576 Enrollment ID: I20221013000398 |
| Provider Name | Zoe Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356834220 PECOS PAC ID: 4385996271 Enrollment ID: I20221013000468 |
| Provider Name | Stella Macharia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982202073 PECOS PAC ID: 9537536305 Enrollment ID: I20221108000886 |
| Provider Name | Ryan Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043704992 PECOS PAC ID: 0749532646 Enrollment ID: I20221230001576 |
| Provider Name | Corina Shulman Kirwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023733680 PECOS PAC ID: 6002287380 Enrollment ID: I20230124002675 |
| Provider Name | Michelle Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023622966 PECOS PAC ID: 6103290234 Enrollment ID: I20230313001437 |
| Provider Name | Janette Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942692892 PECOS PAC ID: 0143548313 Enrollment ID: I20230330000418 |
| Provider Name | Adela Marte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710594338 PECOS PAC ID: 7719342591 Enrollment ID: I20230501000746 |
| Provider Name | Olivia Rose Knight |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215549068 PECOS PAC ID: 2769847490 Enrollment ID: I20230502000320 |
| Provider Name | Rebecca Weiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952961393 PECOS PAC ID: 9234465832 Enrollment ID: I20230601001780 |
| Provider Name | Patrick O'neil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871153205 PECOS PAC ID: 9234464363 Enrollment ID: I20230601002322 |
| Provider Name | Madennys Maria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083123897 PECOS PAC ID: 0840657003 Enrollment ID: I20230601002966 |
| Provider Name | Corinne Gibbons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568022986 PECOS PAC ID: 5890020960 Enrollment ID: I20230613001136 |
| Provider Name | Patrick Salemme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124688551 PECOS PAC ID: 9537494703 Enrollment ID: I20230613002951 |
| Provider Name | Olivia O'gorman Weiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376228023 PECOS PAC ID: 8224497227 Enrollment ID: I20230710000847 |
| Provider Name | Kathleen Sausen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730740192 PECOS PAC ID: 9537495023 Enrollment ID: I20230721001635 |
| Provider Name | Sarah Elizabeth Bauch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114548278 PECOS PAC ID: 5395105357 Enrollment ID: I20230721002380 |
| Provider Name | Alyssa Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114581535 PECOS PAC ID: 1658608104 Enrollment ID: I20230721002565 |
| Provider Name | Deanna Louise Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477107910 PECOS PAC ID: 5890197123 Enrollment ID: I20230724002594 |
| Provider Name | Alaina Aristide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760042188 PECOS PAC ID: 0143554790 Enrollment ID: I20230728001656 |
| Provider Name | Angela Sterling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255991691 PECOS PAC ID: 6406184225 Enrollment ID: I20230811000652 |
| Provider Name | Denise Lobo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235799669 PECOS PAC ID: 0143555227 Enrollment ID: I20230811001870 |
| Provider Name | Myshelle R Guarderas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992487367 PECOS PAC ID: 9335503283 Enrollment ID: I20230912001314 |
| Provider Name | Sarah Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164024931 PECOS PAC ID: 1254785199 Enrollment ID: I20230927000873 |
| Provider Name | Claire Katherine Bogan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164915443 PECOS PAC ID: 5092132951 Enrollment ID: I20231006002159 |
| Provider Name | Camden M Towne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114543964 PECOS PAC ID: 7618390030 Enrollment ID: I20231017003558 |
| Provider Name | Olenka Caffo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316575574 PECOS PAC ID: 6406275700 Enrollment ID: I20231024002897 |
| Provider Name | Laura Cuevas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992135099 PECOS PAC ID: 5193172237 Enrollment ID: I20231110000101 |
| Provider Name | Meghan Mckenzie Blanchet |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063289882 PECOS PAC ID: 5799138913 Enrollment ID: I20240124001833 |
Merrimack Medical & Walk In Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Marston St, Ste 304, Lawrence, MA 01841 Phone: 978-688-3100 Fax: 978-688-3133 | |
Greater Lawrence Family Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 General St, Lamprey Building, 4th Floor, Lawrence, MA 01841 Phone: 978-983-0488 | |
Ez Med Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Essex Street, Suite 1b, Lawrence, MA 01841 Phone: 857-246-1983 | |
Elder Services Of The Merrimack Valley, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Merrimack St, Suite 400, Lawrence, MA 01843 Phone: 978-683-7747 Fax: 978-687-1067 | |
Mmwic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Marston St, 3rd Floor, Lawrence, MA 01841 Phone: 978-688-3100 | |
Community Medical Associates, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Marston St Ste 301, Lawrence, MA 01841 Phone: 978-683-4000 Fax: 978-946-8136 | |
Lawrence G. Kidd M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Marston St, Ste 401, Lawrence, MA 01841 Phone: 978-682-3686 Fax: 978-794-0841 |