Provider Demographics
NPI:1407385834
Name:LAWRENCE HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:LAWRENCE HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:VIDAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIMITERIO
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:978-258-1057
Mailing Address - Street 1:25 MARSTON ST APT 105
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-2356
Mailing Address - Country:US
Mailing Address - Phone:978-258-1057
Mailing Address - Fax:978-258-1520
Practice Address - Street 1:25 MARSTON ST.
Practice Address - Street 2:SUITE 105
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841
Practice Address - Country:US
Practice Address - Phone:978-258-1057
Practice Address - Fax:978-258-1520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care