Individual
JESSICA FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
LAHEY CLINIC, 41 MALL RD., BURLINGTON, MA 01805-0001
(781) 744-8652
(781) 744-5848
Mailing address
PO BOX 3694, BOSTON, MA 02241-3694
(617) 355-6028
(617) 731-5928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
224336
MA
2080S0010X
Pediatric Sports Medicine Physician
Primary
224336
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110078705A
—
MA
Enumeration date
11/14/2006
Last updated
03/26/2013
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