Lazarus House, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4FUB Issued in MA

Legal business name

LAZARUS HOUSE, INC.

Practice address

412 Hampshire St
Lawrence, MA 01841-3110

Phone

(978) 269-5284

Fax

(978) 602-7004

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. H. Bridget Shaheen

Title

Executive Director

Phone

(978) 269-5200

Specialties & licenses 1

Addresses

Other names 1

• St. Luke's Dental Clinic Other name

Locations

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1841471778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HOLLY ST",
            "address_2": "P.O. BOX 408",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018413538",
            "telephone_number": "978-689-8575",
            "fax_number": "978-682-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 HAMPSHIRE ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018413110",
            "telephone_number": "978-269-5284",
            "fax_number": "978-602-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZARUS HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "SHAHEEN",
        "authorized_official_first_name": "H.",
        "authorized_official_middle_name": "BRIDGET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-269-5200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "4FUB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Dental Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lawrence General Hospital (Emergency and Medical Physicians)
• Lawrence Health Solutions, LLC
• Lawrence Opco LLC (Royal Wood Mill Center)
• Lawrence Smile Design LLC
• Lawrence Smiles Youth Dentistry, LLC
• Toby Lazerson, MSW; LICSW
• Anne C Le, PHARMD
• Dat Tat Le, MD EFFECTIVE 6/1/12
• Pamilli Leandro Bezerra, MD
• Anna Jill Leblanc

• Dental Clinic/Center in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.