Organization
MICHEL LIRETTE MD LLC
Active
Other names
Michel Lirette MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA MARIE CROTEAU (PRACTICE MANAGER)
(978) 681-4505
Entity
Organization
Contact information
Practice address
203 TURNPIKE ST, SUITE 115, NORTH ANDOVER, MA 01845-5042
(978) 681-4505
(978) 681-4507
Mailing address
203 TURNPIKE ST, SUITE 115, NORTH ANDOVER, MA 01845-5042
(978) 681-4505
(978) 681-4507
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
76941
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13002
HARVARDPILGRIM HEALTHCARE
MA
05
—
3110541
—
MA
01
—
730461
TUFTS HEALTH CARE
MA
05
—
9784802
—
MA
01
—
J13903
BLUESHIELD OF MASSACHUSETTS
MA
01
—
M17018
BLUESHIELD OF MASSACHUSETTS
MA
Enumeration date
05/08/2012
Last updated
05/08/2012
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