Individual
DR. CAROL LYNNE MOHEBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(978) 538-4690
(978) 538-4735
Mailing address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(978) 538-4690
(978) 538-4735
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
155215
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3178862
—
MA
Enumeration date
12/28/2006
Last updated
07/08/2007
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