Provider Demographics
NPI:1003942350
Name:JARRETT, LONNY SEAN (MS, MAC)
Entity Type:Individual
Prefix:MR
First Name:LONNY
Middle Name:SEAN
Last Name:JARRETT
Suffix:
Gender:M
Credentials:MS, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STOCKBRIDGE HEALTH CANTER
Mailing Address - Street 2:PO 1093
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01262-1093
Mailing Address - Country:US
Mailing Address - Phone:413-298-4221
Mailing Address - Fax:
Practice Address - Street 1:44 MAIN ST
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01262-1093
Practice Address - Country:US
Practice Address - Phone:413-298-4221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA189171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist