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Organization

ALTIVITAS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDSAY LACORTE DO (MEDICAL DIRECTOR)
(508) 737-7196
Entity
Organization

Contact information

Practice address
1049 MAIN ST, WEST BARNSTABLE, MA 02668-1152
(508) 744-7105
(866) 711-4542
Mailing address
1049 MAIN ST, WEST BARNSTABLE, MA 02668-1152
(508) 744-7105
(866) 711-4542

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
207VG0400X
Gynecology Physician
261QP2300X
Primary Care Clinic/Center
Primary
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
07/11/2024
Last updated
03/07/2025
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