Individual
LYNNE C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
90 LIBBEY INDUSTRIAL PKWY, WEYMOUTH, MA 02189-3129
(781) 682-5900
(781) 331-1763
Mailing address
75 WASHINGTON STREET, SSMC, NORWELL, MA 02061
(781) 878-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
103228
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042297845
MULTI-PLAN
—
05
—
0729744
—
MA
01
—
1043477607
FALLON HEALTH CARE
—
01
—
NP9321, SS0060
BCBSMA
MA
Enumeration date
05/21/2008
Last updated
01/11/2011
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