Provider Demographics
NPI:1770608648
Name:ECKHERT, N. LYNN (MD)
Entity type:Individual
Prefix:
First Name:N. LYNN
Middle Name:
Last Name:ECKHERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 STOWE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01772-1107
Mailing Address - Country:US
Mailing Address - Phone:617-535-6400
Mailing Address - Fax:
Practice Address - Street 1:HARVARD MEDICAL INTERNATIONAL
Practice Address - Street 2:1135 TREMONT ST.
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02120
Practice Address - Country:US
Practice Address - Phone:617-535-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA392302080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine