Individual
LINDSEY MARIE SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3550
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4106
MA
363AM0700X
Medical Physician Assistant
PA4106
MA
Other
Enumeration date
01/18/2011
Last updated
11/09/2020
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