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Individual

LINDSEY E. BAZZONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., PH.D.

Contact information

Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-1975
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(508) 856-1975

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
273235
MA
207RP1001X
Pulmonary Disease Physician
Primary
273235
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110116012A
MA
Enumeration date
04/06/2015
Last updated
06/07/2022
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