Provider Demographics
NPI:1043277288
Name:ROCKWELL, LINDSAY E (DO)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:E
Last Name:ROCKWELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 STRAW AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1491
Mailing Address - Country:US
Mailing Address - Phone:413-586-0029
Mailing Address - Fax:413-586-0051
Practice Address - Street 1:15 STRAW AVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1491
Practice Address - Country:US
Practice Address - Phone:413-586-0029
Practice Address - Fax:413-586-0051
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216702207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA62366OtherHARVARD
MA2116332Medicaid
MA38412OtherHEALTH NEW ENGLAND
MAJ40119OtherBCBS OF MA
MAAA62366OtherHARVARD