Vida Family Health LLC
Clinic/Center, Primary Care in Lawrence, MA. Organization (NPI-2).
Details
- NPI
- 1336093335
- Entity type
- Organization (NPI-2)
- Legal business name
- Vida Family Health LLC
- Organization subpart
- No
- Enumeration date
- Feb 25, 2026
- Certification date
- Mar 1, 2026
- Last updated
- Mar 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
25 Marston St Ste 405Lawrence, MA 01841-2359
Phone 978-669-4992 · Fax 978-669-4991
Mailing address
25 Marston St Ste 405Lawrence, MA 01841-2359
Phone 978-669-4992 · Fax 978-669-4991
Authorized official
Jonnathan Ramon Reyes Luna
Managing Member
9786694992
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Primary Care Clinic/Center providers in Lawrence · All 2,706 providers in Lawrence
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