Provider Demographics
NPI:1992342075
Name:LYNN URGENT CARE LLC
Entity type:Organization
Organization Name:LYNN URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NIRAVKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-893-9901
Mailing Address - Street 1:83 HARTWELL AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-3116
Mailing Address - Country:US
Mailing Address - Phone:617-893-9901
Mailing Address - Fax:
Practice Address - Street 1:776 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01905-2408
Practice Address - Country:US
Practice Address - Phone:617-893-9901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-08
Last Update Date:2019-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care