# PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lahey Clinic- Employee Health Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619238797
- **Authorized official:** JON LEIZMAN M.D. (PRESIDENT)
- **Authorized official phone:** (216) 479-9063

## Contact information

- **Practice address:** 41 MALL RD, BURLINGTON, MA 01805-0001
- **Practice address phone:** (781) 744-8796
- **Practice address fax:** (781) 744-5044
- **Mailing address:** 5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
- **Mailing address phone:** (877) 865-9013
- **Mailing address fax:** (217) 709-2345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2012
- **Last updated:** 08/24/2022