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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