Individual
JACKSON DEAN LINDSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA, ATC
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
14 CORINTHIAN RD, SOMERVILLE, MA 02144-1810
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2142
MA
363A00000X
Physician Assistant
Primary
—
MA
Other
Enumeration date
01/17/2012
Last updated
07/15/2019
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