NPIMap

Organization Active NPI

Lawrence General Hospital

Doing business as LGH Vaccination Clinic

  • Allergy & Immunology Physician
  • Lawrence, MA
National Provider Identifier
1881272102
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
LAWRENCE GENERAL HOSPITAL
Doing business as
LGH Vaccination Clinic
Practice address
1 General St
Lawrence, MA 01841-2997
Phone
(978) 683-4000
NPI assigned
Mar 30, 2021
Last updated
Aug 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LAWRENCE GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Mr. John Whitlock
Title
Cfo
Phone
(978) 683-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X Primary

Addresses

Primary practice location

1 General St
Lawrence, MA 01841-2997

Mailing address

1 General St
Lawrence, MA 01841-2997
Phone (978) 683-4000

Other names 1

  • LGH Vaccination Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210401000870 MA Part B Supplier - Mass Immunization (Roster Biller Only) 5092725200 Practice locations: Lawrence, MA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Lawrence General Hospit

Locations

20 Guest St
Ste 225B
Brighton, MA 02135
Phone (617) 690-7467

25 Marston St
Ste 305
Lawrence, MA 01841
Phone (978) 946-8230

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Merrimack Health Methuen HospitalMethuen, MA, CCN 220080 Hospital Other (100%) Jul 29, 2024
Holy Family HospitalHaverhill, MA, CCN 22S080 Hospital Other (100%) Jul 29, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 229

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 229

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1881272102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412997",
            "telephone_number": "978-683-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412997",
            "telephone_number": "978-683-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAWRENCE GENERAL HOSPITAL",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "978-683-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LGH Vaccination Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LGH Vaccination Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.