Basic Information
Provider Information
NPI: 1730352352
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LIEN
FirstName: PING
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: LAHEY HOSPITAL & MEDICAL CENTER
Address2: 41 MALL ROAD
City: BURLINGTON
State: MA
PostalCode: 018050001
CountryCode: US
TelephoneNumber: 7817448100
FaxNumber: 7817445213
Practice Location
Address1: LAHEY HOSPITAL & MEDICAL CENTER
Address2: 41 MALL ROAD
City: BURLINGTON
State: MA
PostalCode: 018050001
CountryCode: US
TelephoneNumber: 7817448100
FaxNumber: 7817445213
Other Information
ProviderEnumerationDate: 04/03/2008
LastUpdateDate: 08/23/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X270900MAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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