Provider Demographics
NPI:1851570352
Name:SHAW, LINDSAY HAMILTON (NP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:HAMILTON
Last Name:SHAW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1153 CENTRE ST
Mailing Address - Street 2:DANAFARBER/BRIGHAM&WOMEN'S CANCER CENTER AT FAULKNER
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130-3446
Mailing Address - Country:US
Mailing Address - Phone:617-983-7160
Mailing Address - Fax:617-983-7860
Practice Address - Street 1:1153 CENTRE ST
Practice Address - Street 2:DANAFARBER/BRIGHAM&WOMEN'S CANCER CENTER AT FAULKNER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-3446
Practice Address - Country:US
Practice Address - Phone:617-983-7160
Practice Address - Fax:617-983-7860
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA266871363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA266871OtherAPRN LICENSE NUMBER