Individual
LYNDA MARIE BANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L ATC
Contact information
Practice address
123 CAMBRIDGE ST, BURLINGTON, MA 01803-3711
(781) 270-1883
Mailing address
38 HIGHLAND ST, MEDWAY, MA 02053-2105
(508) 533-9002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
418
MA
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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