Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | NP | MA |
NPI | 1093359499 |
---|---|
Provider Name | Melissa Lemayian |
First Address | Lowell, MA 01852-2604 |
Second Address | Lowell, MA 01852-2604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2019 |
Last Update Date | 30/10/2019 |