Provider Demographics
NPI:1417929977
Name:BADEN, LYNN ALLISON (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ALLISON
Last Name:BADEN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1400 CENTRE ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2454
Mailing Address - Country:US
Mailing Address - Phone:617-558-0077
Mailing Address - Fax:617-558-1776
Practice Address - Street 1:1400 CENTRE ST
Practice Address - Street 2:#208
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-2454
Practice Address - Country:US
Practice Address - Phone:617-558-0077
Practice Address - Fax:617-558-1776
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2016-07-22
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Provider Licenses
StateLicense IDTaxonomies
MA59922207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE47963Medicare UPIN