Individual
MISS JENNIFER E DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8583
(781) 744-1052
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8583
(781) 744-1052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-266
ME
363A00000X
Physician Assistant
Primary
PA4503
MA
Other
Enumeration date
06/29/2010
Last updated
12/18/2012
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