Provider Demographics
NPI:1740238096
Name:KNIGHT, LYNETTE M (MD)
Entity Type:Individual
Prefix:
First Name:LYNETTE
Middle Name:M
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 848647
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-8647
Mailing Address - Country:US
Mailing Address - Phone:978-342-4437
Mailing Address - Fax:978-343-6572
Practice Address - Street 1:881 SOUTH ST
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-6252
Practice Address - Country:US
Practice Address - Phone:978-342-4437
Practice Address - Fax:978-343-6572
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2013-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA59972208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA201047951OtherCIGNA
MA201047951OtherUNITED HEALTH
MA20695OtherHARVARD PILGRIM
MAJ07748OtherBLUE CROSS BLUE SHIELD
MA6232OtherFALLON COMMUNITY HEALTH
MA987950OtherNETWORK HEALTH
MA3049159Medicaid
MA201047951OtherPHCS
MA059972OtherTUFTS HEALTH PLAN
MA20695OtherHARVARD PILGRIM