Individual
JUDITH M LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
75 WASHINGTON ST, NORWELL, MA 02061-1795
(781) 585-2200
(781) 585-1784
Mailing address
5 TARKILN RD, KINGSTON, MA 02364-1250
(781) 585-2200
(781) 585-1784
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
159896
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0325422
—
MA
01
—
99537
FALLON
MA
01
—
NP1226
BCBSMA
MA
Enumeration date
03/10/2006
Last updated
02/12/2013
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