Lynda M Bannon, L ATC
Specialist/Technologist, Athletic Trainer in Burlington, Massachusetts
1063000214- Practice location
- 123 Cambridge St, Burlington, MA 01803-3711
- Phone
- 781-270-1883
- Fax
- —
- Last updated
- January 4, 2021
Lynda Marie Bannon is a Specialist/Technologist, Athletic Trainer based in Burlington, MA. Lynda Marie Bannon practices in Burlington, MA and has the professional credentials of L ATC. The NPI Number for Lynda Marie Bannon is 1063000214 and holds a License No. 418 (MA). The current practice location address for Lynda Marie Bannon is 123 Cambridge St, Burlington, MA 01803-3711 and can be reached out via phone at 781-270-1883.
Provider Profile Details
- NPI Number
- 1063000214
- Provider Name
- Lynda Marie Bannon
- Credential
- L ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 123 Cambridge St, Burlington, MA 01803-3711
- Phone Number
- 781-270-1883
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 4, 2021
- Last Update Date
- January 4, 2021
- Certification Date
- January 4, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 123 Cambridge St
Burlington, MA 01803-3711 - City
- Burlington
- State
- Massachusetts
- Zip
- 01803-3711
- Phone Number
- 781-270-1883
Provider Business Mailing Address Details
- Address
- 38 Highland St
Medway, MA 02053-2105 - City
- Medway
- State
- MA
- Zip
- 02053-2105
- Phone Number
- 508-533-9002
License Information
- License Number
- 418
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lynda M Bannon, L ATC?
The NPI number of Lynda M Bannon, L ATC is 1063000214. It was assigned on January 4, 2021 and is currently active in the NPPES registry.
What is the specialty of Lynda M Bannon, L ATC?
Lynda M Bannon, L ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 418.
Where does Lynda M Bannon, L ATC practice?
The practice location is 123 Cambridge St, Burlington, MA 01803-3711. The office can be reached at 781-270-1883 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063000214 directly on the NPPES registry website.