Provider Demographics
NPI:1346833159
Name:KOZEK, LINDSAY KLOFAS (MD, PHD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:KLOFAS
Last Name:KOZEK
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:KLOFAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:64 WINDHAM DR
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-2668
Mailing Address - Country:US
Mailing Address - Phone:413-519-4997
Mailing Address - Fax:
Practice Address - Street 1:243 CHARLES ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3096
Practice Address - Country:US
Practice Address - Phone:617-523-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-12
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPENDING207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology