Basic Information
Provider Information
NPI: 1285184283
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LIEN
FirstName: RACHEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9 INDUSTRIAL RD
Address2: STE 5
City: MILFORD
State: MA
PostalCode: 017573736
CountryCode: US
TelephoneNumber: 5084731480
FaxNumber: 5084732709
Practice Location
Address1: 1280 W CENTRAL ST STE 202
Address2:  
City: FRANKLIN
State: MA
PostalCode: 020383110
CountryCode: US
TelephoneNumber: 5085412436
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/13/2016
LastUpdateDate: 03/31/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/31/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN2292861MAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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