# MICHEL LIRETTE MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michel Lirette MD PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891054003
- **Authorized official:** MRS. GINA MARIE CROTEAU (PRACTICE MANAGER)
- **Authorized official phone:** (978) 681-4505

## Contact information

- **Practice address:** 203 TURNPIKE ST, SUITE 115, NORTH ANDOVER, MA 01845-5042
- **Practice address phone:** (978) 681-4505
- **Practice address fax:** (978) 681-4507
- **Mailing address:** 203 TURNPIKE ST, SUITE 115, NORTH ANDOVER, MA 01845-5042
- **Mailing address phone:** (978) 681-4505
- **Mailing address fax:** (978) 681-4507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QB0400X | Birthing Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | 76941 | MA | Yes |

## Other

- **Enumeration date:** 05/08/2012
- **Last updated:** 05/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 13002 | HARVARDPILGRIM HEALTHCARE | MA |
| 05 | — | 3110541 | — | MA |
| 01 | — | 730461 | TUFTS HEALTH CARE | MA |
| 05 | — | 9784802 | — | MA |
| 01 | — | J13903 | BLUESHIELD OF MASSACHUSETTS | MA |
| 01 | — | M17018 | BLUESHIELD OF MASSACHUSETTS | MA |