Dimou, Ciara Irene

Dimou, Ciara Irene is an sole proprietor health care provider with primary practice located at 41 Mall Road Lahey Hospital And Medical Center, Burlington MA 01805-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Dimou, Ciara Irene can be contacted via phone (781) 744-7000.

Contact Information

Primary practice address
41 Mall Road Lahey Hospital And Medical Center Burlington MA 01805-0001
Phone: (781) 744-7000
Fax: (781) 744-5351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN2284486 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN2284486 Massachusetts

Profile Details

NPI number 1194135111
LBN Legal business name Dimou, Ciara Irene
Credentials R.N., N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2014
Last updated Mar 12th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194135111 NPPES
Massachusetts MEDICAID 110100418A

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