Mr. Tim D Lwanga
Community/Behavioral Health in Medford, Massachusetts
1811689268- Practice location
- 3620 Mystic Valley Pkwy Apt E315, Medford, MA 02155-5755
- Phone
- 781-502-1016
- 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 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-5755
- Phone Number
- 781-502-1016
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community/Behavioral Health providers near Medford, MA
View all Community/Behavioral Health providers in Medford →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.