Legacy Health Alliance LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LEGACY HEALTH ALLIANCE LLC

Practice address

65 Fremont St Ofc 6
Marlborough, MA 01752-1271

Phone

(508) 658-2246

NPI assigned

Feb 8, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Suellen Duque, DNP, FNP, C-NPNPI 1427667526

Title

Provider

Phone

(508) 658-2246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suellen Duque, MSN, APRN, FNP-C

  • Internal Medicine Physician
  • Marlborough, MA
  • NPI 1427667526
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1265247274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 FREMONT ST OFC 6",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521271",
            "telephone_number": "508-658-2246",
            "fax_number": "508-785-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 FREMONT ST OFC 6",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521271",
            "telephone_number": "508-658-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTH ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "DUQUE",
        "authorized_official_first_name": "SUELLEN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "508-658-2246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP, C-NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Hyuna Lee, PHARMD, RPH
• Gosheng Lee
• Soonhui Lee
• Zhanna Lee, COTA/L
• Catherine Ruth Lefebvre, M.S., CCC-SLP
• Sarah Elizabeth Lehner
• Jacquelynne Anne Leighton, PNP
• Tina Marita Lema
• Chloe Jane Lemaire
• Gabrielle Lemanski

• Primary Care Clinic/Center in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.