Provider Demographics
NPI:1063457836
Name:STAZZONE, LYNN A (NP)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:A
Last Name:STAZZONE
Suffix:
Gender:F
Credentials:NP
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Other - Last Name:
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Mailing Address - Street 1:1 BROOKLINE PL
Mailing Address - Street 2:BWH PARTNERS MULTIPLE SCLEROSIS CENTER
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7224
Mailing Address - Country:US
Mailing Address - Phone:617-525-6550
Mailing Address - Fax:617-525-6554
Practice Address - Street 1:1 BROOKLINE PL
Practice Address - Street 2:BWH PARTNERS MULTIPLE SCLEROSIS CENTER
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7224
Practice Address - Country:US
Practice Address - Phone:617-525-6550
Practice Address - Fax:617-525-6554
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA152869163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience