Provider Demographics
NPI:1306181888
Name:ROBILLARD, LINDA (NP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:ROBILLARD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1010 WALTHAM STREET
Mailing Address - Street 2:600
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-8052
Mailing Address - Country:US
Mailing Address - Phone:781-372-0259
Mailing Address - Fax:781-372-0271
Practice Address - Street 1:1010 WALTHAM STREET
Practice Address - Street 2:600
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-8052
Practice Address - Country:US
Practice Address - Phone:781-372-0259
Practice Address - Fax:781-372-0271
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA205724363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology