Organization
LAHEY CLINIC, INC.
Active
Parent organization
BETH ISRAEL LAHEY HEALTH INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETH ISRAEL LAHEY HEALTH INC
Authorized official
SUSAN D MOFFATT-BRUCE MD (PRESIDENT)
(781) 744-8594
Entity
Organization
Contact information
Practice address
16 HAYDEN AVE, LEXINGTON, MA 02421-7929
(781) 372-7000
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2778
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9729097
—
MA
05
—
9770585
—
MA
Enumeration date
07/18/2006
Last updated
10/17/2024
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