Individual provider · NPI-1
Lindsay P Bennett, PA-C
Physician Assistant · Cambridge, MA
NPI number1790104685
StatusActive
Last updated in NPPESNov 8, 2018
Details
- NPI
- 1790104685
- Entity type
- Individual (NPI-1)
- Name
- Lindsay P Bennett
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 8, 2014
- Last updated
- Nov 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA5084 | MA | Yes |
Other names
- Lindsay Mcmugh (Former Name)
Practice location
1493 Cambridge StCambridge, MA 02139-1047
Phone 617-665-1000
Mailing address
13 Longwood DrSwampscott, MA 01907-2909
Phone 781-367-1695
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