Individual
LYNNE LESLIE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1 TROWBRIDGE RD, BOURNE, MA 02532
(508) 759-7200
(508) 759-7219
Mailing address
1 TROWBRIDGE RD, BOURNE, MA 02532-3660
(508) 759-7200
(508) 759-7219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15197
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X11722
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/02/2006
Last updated
01/17/2008
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