Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 245141 | MA |
Y | 2082S0105X | Plastic Hand Surgeon | 265825 | MA |
NPI | 1073838835 |
---|---|
Provider Name | Lydia Anne Helliwell |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02114-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2010 |
Last Update Date | 25/03/2019 |