Provider Demographics
NPI:1023203841
Name:CITY OF LAWRENCE
Entity Type:Organization
Organization Name:CITY OF LAWRENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:MISS
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-794-5960
Mailing Address - Street 1:200 COMMON ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1517
Mailing Address - Country:US
Mailing Address - Phone:978-794-5960
Mailing Address - Fax:978-794-5759
Practice Address - Street 1:200 COMMON ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1517
Practice Address - Country:US
Practice Address - Phone:978-794-5960
Practice Address - Fax:978-794-5759
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAWRENCE HEALTH DEPT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MACIY11050Medicare PIN