Lahood, Melrose Mae
Lahood, Melrose Mae is an individual health care provider with primary practice located at 819 Worcester St Suite 3, Springfield MA 01151-1045. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lahood, Melrose Mae can be contacted via phone (413) 543-6820.Contact Information
Primary practice address
819 Worcester St Suite 3
Springfield MA 01151-1045
Phone: (413) 543-6820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 184642 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 184642 | Massachusetts |
Profile Details
| NPI number | 1114114758 |
|---|---|
| LBN Legal business name | Lahood, Melrose Mae |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2007 |
| Last updated | Feb 25th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114114758 | NPPES |
| Massachusetts | Other | NP4966 | BLUECROSS BLUESHIELD |
| Massachusetts | MEDICAID | 0703605 | BLUECROSS BLUESHIELD |
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