Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 267101 | MA |
NPI | 1083909774 |
---|---|
Provider Name | Kristen A. Lindgren |
First Address | Newton, MA 02462 |
Second Address | Newton, MA 02462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2011 |
Last Update Date | 18/07/2019 |