Provider Demographics
NPI:1699873927
Name:CITY OF LOWELL
Entity type:Organization
Organization Name:CITY OF LOWELL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HHS
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:978-674-1050
Mailing Address - Street 1:107 MERRIMACK ST FL 4
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1723
Mailing Address - Country:US
Mailing Address - Phone:978-674-4010
Mailing Address - Fax:978-970-4011
Practice Address - Street 1:107 MERRIMACK ST FL 4
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1723
Practice Address - Country:US
Practice Address - Phone:978-674-4010
Practice Address - Fax:978-970-4011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY11046Medicare PIN