Moheban, Carol Lynne
Moheban, Carol Lynne is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Road, Burlington MA 01805-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Moheban, Carol Lynne can be contacted via phone (978) 538-4690.Contact Information
Primary practice address
Lahey Clinic 41 Mall Road
Burlington MA 01805-0001
Phone: (978) 538-4690
Fax: (978) 538-4735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 155215 | Massachusetts |
Profile Details
| NPI number | 1295891109 |
|---|---|
| LBN Legal business name | Moheban, Carol Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295891109 | NPPES |
| Massachusetts | MEDICAID | 3178862 |
Popular Providers
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Camac, Ann
Lahey Clinic 41 Mall Road, Burlington MA 01805-0001 -
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Lahey Clinic 41 Mall Rd, Burlington MA 01805-0001