Provider First Line Business Practice Location Address:
LAHEY ACCOUNTABLE CARE UNIT
Provider Second Line Business Practice Location Address:
12 ALFRED STREET, SUITE 207
Provider Business Practice Location Address City Name:
WOBURN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-866-0364
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/29/2018