Individual
LYNNE A FASANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2007 BAY ST., SUITE 103, TAUNTON, MA 02780
(508) 880-7858
(508) 822-7952
Mailing address
2007 BAY ST STE 103, TAUNTON, MA 02780-1086
(508) 880-7858
(508) 822-5972
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
160052
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3197026
—
MA
Enumeration date
06/08/2006
Last updated
12/18/2025
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