1922129642 NPI number — LC HOLBROOK, INC.

Table of content: (NPI 1922129642)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922129642 NPI number — LC HOLBROOK, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LC HOLBROOK, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922129642
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/31/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19 LANCELOT LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH EASTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02356-2720
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-864-5499
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
169 N FRANKLIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOLBROOK
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02343-1174
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-767-5200
Provider Business Practice Location Address Fax Number:
781-767-5202
Provider Enumeration Date:
04/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KAROUL
Authorized Official First Name:
MARK
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
781-864-6190

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  13235 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 11007783A , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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