Provider Demographics
NPI:1053417584
Name:LAMIR HEGER, MARGARET (PT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:LAMIR HEGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARGIE
Other - Middle Name:
Other - Last Name:LAMIR HEGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:200 PROVIDENCE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026
Mailing Address - Country:US
Mailing Address - Phone:781-326-8332
Mailing Address - Fax:781-326-8262
Practice Address - Street 1:200 PROVIDENCE HIGHWAY
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026
Practice Address - Country:US
Practice Address - Phone:781-326-8332
Practice Address - Fax:781-326-8262
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6574225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
613720OtherHARVARD PILGRIM HLTH CARE
MA470243OtherTUFTS
MAY66145OtherBLUE CROSS BLUE SHIELD
6400217OtherUNITED HEALTHCARE
650012558OtherRR MEDICARE
817690OtherAETNA
MAY68007Medicare ID - Type Unspecified