Provider Demographics
NPI:1154532786
Name:LAMSON, JILL A (NP)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:A
Last Name:LAMSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5A MORSE ST
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2232
Mailing Address - Country:US
Mailing Address - Phone:617-967-3357
Mailing Address - Fax:
Practice Address - Street 1:1 FORBES RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-7305
Practice Address - Country:US
Practice Address - Phone:781-674-1200
Practice Address - Fax:781-674-1546
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261273363LX0001X
RIAPRN01466363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology