Provider Demographics
NPI:1891241097
Name:LIMA, COLLEEN D (NP)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:D
Last Name:LIMA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:LAHEY HEALTH PRIMARY CARE, DANVERS
Mailing Address - Street 2:140 COMMONWEALTH AVE SUITE 201
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923
Mailing Address - Country:US
Mailing Address - Phone:978-750-0200
Mailing Address - Fax:978-450-0220
Practice Address - Street 1:LAHEY HEALTH PRIMARY CARE, DANVERS
Practice Address - Street 2:140 COMMONWEALTH AVE SUITE 201
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923
Practice Address - Country:US
Practice Address - Phone:978-750-0200
Practice Address - Fax:978-450-0220
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARE207251363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily