Provider Demographics
NPI:1114294089
Name:LENAN HEATH ASSOCIATES
Entity Type:Organization
Organization Name:LENAN HEATH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLAN
Authorized Official - Suffix:
Authorized Official - Credentials:ANP
Authorized Official - Phone:508-415-6646
Mailing Address - Street 1:PO BOX 402
Mailing Address - Street 2:
Mailing Address - City:WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02571-0402
Mailing Address - Country:US
Mailing Address - Phone:508-415-6646
Mailing Address - Fax:877-356-7197
Practice Address - Street 1:18 TARPAULIN WAY
Practice Address - Street 2:
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571-2616
Practice Address - Country:US
Practice Address - Phone:508-415-6646
Practice Address - Fax:877-356-7197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA152370208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty