Horsburgh, Gwynn M

Horsburgh, Gwynn M is an individual health care provider with primary practice located at 41 Mall Rd Lahey Clinic, Inc., Burlington MA 01805-0001. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Horsburgh, Gwynn M can be contacted via phone (781) 744-8000.

Contact Information

Primary practice address
41 Mall Rd Lahey Clinic, Inc. Burlington MA 01805-0001
Phone: (781) 744-8000
Fax: (781) 744-2540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3842 Massachusetts

Profile Details

NPI number 1538251822
LBN Legal business name Horsburgh, Gwynn M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Oct 24th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538251822 NPPES
Massachusetts MEDICAID 0371271
Massachusetts MEDICAID 110017796A

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