Provider Demographics
NPI:1538491048
Name:GIRARD, LYNDA (LYNDA GIRARD)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:
Last Name:GIRARD
Suffix:
Gender:F
Credentials:LYNDA GIRARD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02351-1806
Mailing Address - Country:US
Mailing Address - Phone:781-413-4586
Mailing Address - Fax:
Practice Address - Street 1:243 BIRCH ST
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:MA
Practice Address - Zip Code:02351-1806
Practice Address - Country:US
Practice Address - Phone:781-413-4586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NOT APPLICABLE374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula