Provider Demographics
NPI:1134399488
Name:FOX, LINDSAY ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:ANNE
Last Name:FOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:78 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-1034
Mailing Address - Country:US
Mailing Address - Phone:978-667-5123
Mailing Address - Fax:978-663-5154
Practice Address - Street 1:78 BOSTON RD
Practice Address - Street 2:
Practice Address - City:NORTH BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-1034
Practice Address - Country:US
Practice Address - Phone:978-667-5123
Practice Address - Fax:978-663-5154
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA239654208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110083741AMedicaid