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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295891109 NPPES
Massachusetts MEDICAID 3178862

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