Active NPIIndividual provider

Mr. Louis S Dominguez, PA

Physician Assistant, Medical in Burlington, Massachusetts

NPI Number1831509702
Practice location
41 Mall RD, Lahey Hospital And Medical Center, Burlington, MA 01805-0001
Fax
781-744-5213
Last updated
October 26, 2016

Louis S. Dominguez is a Physician Assistant, Medical based in Burlington, MA. Louis S. Dominguez practices in Burlington, MA and has the professional credentials of PA. The NPI Number for Louis S. Dominguez is 1831509702 and holds a License No. 3093 (CT). The current practice location address for Louis S. Dominguez is 41 Mall RD, Lahey Hospital And Medical Center, Burlington, MA 01805-0001 and can be reached out via phone at 781-744-8100 and via fax at 781-744-5213.

Provider Profile Details

NPI Number
1831509702
Provider Name
Louis S. Dominguez
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
41 Mall RD, Lahey Hospital And Medical Center, Burlington, MA 01805-0001
Phone Number
781-744-8100
Fax Number
781-744-5213
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
May 1, 2014
Last Update Date
October 26, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Mall RD
Lahey Hospital And Medical Center
Burlington, MA 01805-0001
Zip
01805-0001
Phone Number
781-744-8100
Fax Number
781-744-5213
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
41 Mall RD
Lahey Hospital And Medical Center
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001
Phone Number
781-744-8100
Fax Number
781-744-5213

License Information

License Number (1)
3093
License State (1)
CT
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
PA4988
License State (2)
MA
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · 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. Louis S Dominguez, PA?

The NPI number of Mr. Louis S Dominguez, PA is 1831509702. It was assigned on May 1, 2014 and is currently active in the NPPES registry.

What is the specialty of Mr. Louis S Dominguez, PA?

Mr. Louis S Dominguez, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 3093.

Where does Mr. Louis S Dominguez, PA practice?

The practice location is 41 Mall RD, Lahey Hospital And Medical Center, Burlington, MA 01805-0001. The office can be reached at 781-744-8100 (phone) or 781-744-5213 (fax).

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 1831509702 directly on the NPPES registry website.

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