Lakeview Medical Assoc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24991 Issued in MA

Legal business name

LAKEVIEW MEDICAL ASSOC

Practice address

640 Bolton St
Marlborough, MA 01752-3999

Phone

(508) 481-0200

Fax

(508) 229-2343

NPI assigned

Jun 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert N Rittenhouse, MD

Title

Provider

Phone

(508) 481-0200

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013114644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 BOLTON ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523999",
            "telephone_number": "508-481-0200",
            "fax_number": "508-229-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BOLTON ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523999",
            "telephone_number": "508-481-0200",
            "fax_number": "508-229-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW MEDICAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RITTENHOUSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "508-481-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "24991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009242",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Lafollette
• Aaliyah Lafond
• Maria Simon Laham
• Andre Nicholas Laidlaw
• Tonya-Rose Lajoie
• Alexander J Lakos
• Kristen Lally
• Caroline Lamar
• Courtney Lamb
• Keaton Lamb

• Family Medicine Physician in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.