Lerwill, Melinda Jean Fan

Lerwill, Melinda Jean Fan is an individual health care provider with primary practice located at 55 Fruit St Wrn 2, Boston MA 02114-2621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Lerwill, Melinda Jean Fan can be contacted via phone (617) 726-2967.

Contact Information

Primary practice address
55 Fruit St Wrn 2 Boston MA 02114-2621
Phone: (617) 726-2967
Fax: (617) 726-7474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 204794 Massachusetts

Profile Details

NPI number 1831180389
LBN Legal business name Lerwill, Melinda Jean Fan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 18 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 1831180389 NPPES
Massachusetts Other 204794 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3209393 TUFTS HEALTH PLAN
Massachusetts Other J22354 TUFTS HEALTH PLAN

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