Provider Demographics
NPI:1750441648
Name:TOWN OF GRAFTON
Entity type:Organization
Organization Name:TOWN OF GRAFTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNIEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-839-5335
Mailing Address - Street 1:30 PROVIDENCE ROAD
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01519-1193
Mailing Address - Country:US
Mailing Address - Phone:508-839-5335
Mailing Address - Fax:508-839-8559
Practice Address - Street 1:30 PROVIDENCE ROAD
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:MA
Practice Address - Zip Code:01519-1193
Practice Address - Country:US
Practice Address - Phone:508-839-5335
Practice Address - Fax:508-839-8559
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF GRAFTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251K00000X
251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
Y10370Medicare PIN
MAY10370Medicare UPIN