Organization
LAHEY CLINIC, INC.
Active
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
1 PARKLAND DR, DERRY, NH 03038-2746
(603) 421-2156
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2778
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30005078
—
NH
Enumeration date
07/19/2006
Last updated
10/17/2024
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