Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIM DEVIN LWANGA
Active Sole ProprietorMR. TIM DEVIN LWANGA is a Community/Behavioral Health healthcare provider located in MEDFORD, Massachusetts. NPI 1811689268 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · MEDFORD, MA
Registration Details
- NPI Number
- 1811689268
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2023 (3.2664694524438 yrs)
- Last Updated
- May 24, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
3620 MYSTIC VALLEY PKWY APT E315MEDFORD, MA, 021555755Browse MA providers · Browse ZIP 02155
- Phone
- 7815021016
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.