Provider Demographics
NPI:1902096035
Name:MCNAIR, LINDSAY A (MD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:A
Last Name:MCNAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BAGNAL ST
Mailing Address - Street 2:
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-1310
Mailing Address - Country:US
Mailing Address - Phone:617-444-6535
Mailing Address - Fax:
Practice Address - Street 1:130 WAVERLY ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-4242
Practice Address - Country:US
Practice Address - Phone:617-444-6535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA204795208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice