| NAME |
LYNN VA CLINIC |
| STATE |
MASSACHUSETTS |
| STREET ADDR. 1 |
225 BOSTON STREET |
| CITY |
LYNN |
| ZIP |
01904-3135 |
| OFFICIAL VA NAME |
LYNN VA CLINIC |
| STATUS |
National |
| ASSOCIATIONS |
|
| BILLING FACILITY NAME |
LYNN VA CBOC |
| ST. ADDR. 1 (MAILING) |
225 BOSTON STREET |
| CITY (MAILING) |
LYNN |
| STATE (MAILING) |
MASSACHUSETTS |
| ZIP (MAILING) |
01905-3137 |
| EFFECTIVE DATE/TIME |
-
- 2007-01-08 00:00:00
- STATUS: ACTIVE
- NPI: 1073550588
|
| TAXONOMY CODE |
|
| LOCATION TIMEZONE |
EASTERN |
| COUNTRY |
USA |
| AGENCY CODE |
VA |
| POINTER TO AGENCY |
VA |
| STATION NUMBER |
518GA |
| IDENTIFIER |
-
- CODING SYSTEM: NPI
- ID: 1073550588
-
- CODING SYSTEM: VASTANUM
- ID: 518GA
|