Provider Demographics
NPI:1073166393
Name:KAPLAN, LINDSAY JILL (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:JILL
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-2342
Mailing Address - Country:US
Mailing Address - Phone:978-764-0105
Mailing Address - Fax:
Practice Address - Street 1:1 PEARL ST STE 2100
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-2868
Practice Address - Country:US
Practice Address - Phone:508-897-6040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-17
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344590207Q00000X
MARN2331017207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine