Individual
LYNN D HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8300
(781) 744-5744
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
45
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020050943
RAILROAD MEDICARE
MA
Enumeration date
01/12/2007
Last updated
11/08/2010
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