Doctor Name: | DR. LIONEL FRANCIS WILLOUGHBY |
NPI Number: | 1497815666 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD010099 |
Business Practice Address: | 696 Virginia Rd Cbhco-ma Concord, MA - 017422718 |
Business Phone Number: | 9783188945 |
Business Fax Number: | |
Mailing Address: | 206 Ridge Ln, #306 WALTHAM |
State: | MA |
Postal Code: | 024524944 |
Phone Number: | 7814393984 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD010099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |