Individual
LINDSAY T SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
236 MILFORD ST, UPTON, MA 01568
(508) 473-1015
(508) 634-0261
Mailing address
298 ARMISTICE BLVD, PAWTUCKET, RI 02861-2331
(508) 473-1015
(508) 634-0261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1979
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99546
FALLON COMMUNITY HEALTH P
—
Enumeration date
03/27/2006
Last updated
07/24/2019
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