| Lgh Professional Services Llc | |
|
295 Varnum Ave Lowell MA 01854-2134 | |
| (978) 937-6000 | |
| Not Available |
| Full Name | Lgh Professional Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 295 Varnum Ave, Lowell, Massachusetts |
| Authorized Official Name and Position | William F Wyman (VICE PRESIDENT) |
| Authorized Official Contact | 9789376034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lgh Professional Services Llc 295 Varnum Ave Lowell MA 01854-2134 Ph: (978) 937-6000 | Lgh Professional Services Llc 295 Varnum Ave Lowell MA 01854-2134 Ph: (978) 937-6000 |
| NPI Number | 1417485541 |
|---|---|
| Provider Enumeration Date | 06/02/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8921364159 |
|---|---|
| Medicare Enrollment ID | O20171103002152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417485541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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