Provider Demographics
NPI:1043564644
Name:TERZIAN, LINA
Entity Type:Individual
Prefix:DR
First Name:LINA
Middle Name:
Last Name:TERZIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CANTERBURY RD
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-5901
Mailing Address - Country:US
Mailing Address - Phone:781-534-5649
Mailing Address - Fax:
Practice Address - Street 1:7 CANTERBURY RD
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-5901
Practice Address - Country:US
Practice Address - Phone:781-534-5649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-04
Last Update Date:2012-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program