Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 203710 | MA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 203710 | MA |
NPI | 1588682488 |
---|---|
Provider Name | Lucinda J Cassells |
First Address | Springfield, MA 01199-1001 |
Second Address | Springfield, MA 01107-1112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 14/11/2016 |