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Organization
LAZARUS HOUSE, INC.
Active
Organization
LAZARUS HOUSE, INC.
Active
Other names
St. Luke's Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. H. BRIDGET SHAHEEN (EXECUTIVE DIRECTOR)
(978) 269-5200
Entity
Organization
Contact information
Practice address
412 HAMPSHIRE ST, LAWRENCE, MA 01841-3110
(978) 269-5284
(978) 602-7004
Mailing address
48 HOLLY ST, P.O. BOX 408, LAWRENCE, MA 01841-3538
(978) 689-8575
(978) 682-7004
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4FUB
MA
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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