Organization
LGH MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA LEIGH (DIRECTOR, PRACTICE OPERATIONS)
(978) 788-7416
Entity
Organization
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 788-7218
(978) 937-6850
Mailing address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 788-7218
(978) 937-6850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M21905
PTAN
MA
Enumeration date
11/22/2006
Last updated
06/05/2024
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