Provider Demographics
NPI:1639616204
Name:HINGHAM MEDICAL CARE INC.
Entity Type:Organization
Organization Name:HINGHAM MEDICAL CARE INC.
Other - Org Name:OLIVIA LANNA MD MA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-987-3388
Mailing Address - Street 1:107 HALSTED DR
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1661
Mailing Address - Country:US
Mailing Address - Phone:781-740-0400
Mailing Address - Fax:781-740-0200
Practice Address - Street 1:350 LINCOLN ST STE 1102
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-1578
Practice Address - Country:US
Practice Address - Phone:781-740-0400
Practice Address - Fax:781-740-0200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-20
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA56882207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty