Provider Demographics
NPI:1275202954
Name:DENTE, LINDSEY (RN, IBCLC, SANE)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:
Last Name:DENTE
Suffix:
Gender:F
Credentials:RN, IBCLC, SANE
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:COLOMPOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, IBCLC, SANE
Mailing Address - Street 1:PO BOX 931
Mailing Address - Street 2:
Mailing Address - City:GRANBY
Mailing Address - State:MA
Mailing Address - Zip Code:01033-0931
Mailing Address - Country:US
Mailing Address - Phone:857-323-1203
Mailing Address - Fax:
Practice Address - Street 1:281 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2138
Practice Address - Country:US
Practice Address - Phone:857-323-1203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2300191163W00000X
MAL-114101163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse