# FREDERICK G LEA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275783441
- **Authorized official:** MRS. SUSAN C LEA (MANAGER)
- **Authorized official phone:** (978) 580-6696

## Contact information

- **Practice address:** 387 SUDBURY RD, CONCORD, MA 01742-3428
- **Practice address phone:** (978) 580-6696
- **Practice address fax:** (978) 371-1673
- **Mailing address:** 387 SUDBURY RD, CONCORD, MA 01742-3428
- **Mailing address phone:** (978) 580-6696
- **Mailing address fax:** (978) 371-1673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 39946 | MA | Yes |

## Other

- **Enumeration date:** 09/24/2008
- **Last updated:** 09/24/2008