Elie Ibrahim Ata
Elie Ibrahim Ata is a Family Practice in Lawrence, Massachusetts. Qualified in 2017, 9 years ago. Practices with Lawrence General Hospital, a 123-clinician group and accepts Medicare assignment. Licensed in Massachusetts.
- Years since qualifying
- 9
- Licensed in
- MA
- In the registry since
- 2017
Practice location Address checks out
34 Haverhill StLawrence, MA 01841-2884
Phone: (978) 686-0090
Fax: (978) 681-5963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 272114 (MA) |
|---|
Record details
| NPI number | 1659801520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 14, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 34 Haverhill St, Lawrence, MA 01841-2884 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Lawrence General Hospital — 123 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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Carolyn L Augart, MD
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Michelle Barlow
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Erin Bassett, MD
34 Haverhill St, Lawrence, MA 01841-2884 · (978) 686-0090