# MERRIMACK MEDICAL & WALK IN S LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERRIMACK MEDICAL & WALK IN CENTER LLC
- **Other names:** Merrimack Medical & Walk In Center LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013284637
- **Legal business name:** MERRIMACK MEDICAL & WALK IN CENTER LLC
- **Authorized official:** JODY MICHAUD (PRACTICE MANAGER)
- **Authorized official phone:** (978) 688-3100

## Contact information

- **Practice address:** 25 MARSTON ST, STE 304, LAWRENCE, MA 01841
- **Practice address phone:** (978) 688-3100
- **Practice address fax:** (978) 688-3133
- **Mailing address:** 25 MARSTON ST, STE 304, LAWRENCE, MA 01841
- **Mailing address phone:** (978) 688-3100
- **Mailing address fax:** (978) 688-3133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/28/2011
- **Last updated:** 11/30/2016
