| Lowell Primary Care Center | |
|
1075 Westford St Lowell MA 01851-2845 | |
| (978) 395-5525 | |
| Not Available |
| Full Name | Lowell Primary Care Center |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1075 Westford St, Lowell, Massachusetts |
| Authorized Official Name and Position | Vladimir Batrin (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8574526356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowell Primary Care Center 1075 Westford St # 204 Lowell MA 01851-2845 Ph: (978) 455-7992 | Lowell Primary Care Center 1075 Westford St Lowell MA 01851-2845 Ph: (978) 395-5525 |
| NPI Number | 1619488210 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 06/12/2025 |
| Certification Date | 06/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619488210 | NPI | - | NPPES |
| 110120791B | Medicaid | MA | |
| 110120791A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | () | Primary |
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