Organization
LAZARUS HOUSE, INC.
Active
Other names
St. Luke's Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. H. BRIDGET SHAHEEN (EXECUTIVE DIRECTOR)
(978) 269-5200
Entity
Organization
Contact information
Practice address
412 HAMPSHIRE ST, LAWRENCE, MA 01841-3110
(978) 269-5284
(978) 602-7004
Mailing address
48 HOLLY ST, P.O. BOX 408, LAWRENCE, MA 01841-3538
(978) 689-8575
(978) 682-7004
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4FUB
MA
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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