Sporn, Carolyn J.

Sporn, Carolyn J. is an individual health care provider with primary practice located at Lahey Hospital & Medical Center 41 Mall Road, Burlington MA 01805-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Sporn, Carolyn J. can be contacted via phone (781) 744-8100.

Contact Information

Primary practice address
Lahey Hospital & Medical Center 41 Mall Road Burlington MA 01805-0001
Phone: (781) 744-8100
Fax: (781) 744-5213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D0058461 Maryland
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 253295 Massachusetts

Profile Details

NPI number 1386690451
LBN Legal business name Sporn, Carolyn J.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Mar 28th, 2019 - about 6 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 1386690451 NPPES
Maryland MEDICAID 386060400

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