Active NPIIndividual providerSole proprietor

Mr. Tim D Lwanga

Community/Behavioral Health in Medford, Massachusetts

NPI Number1811689268
Practice location
3620 Mystic Valley Pkwy Apt E315, Medford, MA 02155-5755
Fax
—
Last updated
May 24, 2023

Tim Devin Lwanga is a Community/Behavioral Health based in Medford, MA. Tim Devin Lwanga practices in Medford, MA. The NPI Number for Tim Devin Lwanga is 1811689268. The current practice location address for Tim Devin Lwanga is 3620 Mystic Valley Pkwy Apt E315, Medford, MA 02155-5755 and can be reached out via phone at 781-502-1016.

Provider Profile Details

NPI Number
1811689268
Provider Name
Tim Devin Lwanga
Provider Entity Type
Individual
Gender
Male
Address
3620 Mystic Valley Pkwy Apt E315, Medford, MA 02155-5755
Phone Number
781-502-1016
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 24, 2023
Last Update Date
May 24, 2023
Certification Date
May 24, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
3620 Mystic Valley Pkwy Apt E315
Medford, MA 02155-5755
Zip
02155-5755
Phone Number
781-502-1016
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
3620 Mystic Valley Pkwy Apt E315
Medford, MA 02155-5755
City
Medford
State
MA
Zip
02155-5755
Phone Number
781-502-1016

License Information

Taxonomy
Community/Behavioral Health · 251S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Tim D Lwanga?

The NPI number of Mr. Tim D Lwanga is 1811689268. It was assigned on May 24, 2023 and is currently active in the NPPES registry.

What is the specialty of Mr. Tim D Lwanga?

Mr. Tim D Lwanga is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).

Where does Mr. Tim D Lwanga practice?

The practice location is 3620 Mystic Valley Pkwy Apt E315, Medford, MA 02155-5755. The office can be reached at 781-502-1016 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811689268 directly on the NPPES registry website.

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