Organization
LEOMINSTER PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE M CHILD (OFFICE MANAGER)
(978) 407-2476
Entity
Organization
Contact information
Practice address
50 MEMORIAL DRIVE, STE 210, LEOMINSTER, MA 01453-2238
(978) 514-8704
(978) 514-8705
Mailing address
50 MEMORIAL DRIVE, STE 210, LEOMINSTER, MA 01453-2238
(978) 514-8704
(978) 514-8705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110049609A
—
MA
Enumeration date
12/08/2021
Last updated
12/08/2021
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