Provider Demographics
NPI:1033160288
Name:OB-GYN WOMEN'S CARE
Entity Type:Organization
Organization Name:OB-GYN WOMEN'S CARE
Other - Org Name:MARIE C. LEMONNIER, MD
Other - Org Type:Other Name
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:LEMONNIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-688-9979
Mailing Address - Street 1:451 ANDOVER ST
Mailing Address - Street 2:SUITE 335
Mailing Address - City:N ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5044
Mailing Address - Country:US
Mailing Address - Phone:978-688-9979
Mailing Address - Fax:978-688-7727
Practice Address - Street 1:451 ANDOVER ST
Practice Address - Street 2:SUITE 335
Practice Address - City:N ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5044
Practice Address - Country:US
Practice Address - Phone:978-688-9979
Practice Address - Fax:978-688-7727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA152673174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0113450Medicaid
MA0113450Medicaid
MAA22295Medicare ID - Type Unspecified