Provider Demographics
NPI:1548970783
Name:PATRIQUIN, LYNDSAY KATE
Entity type:Individual
Prefix:
First Name:LYNDSAY
Middle Name:KATE
Last Name:PATRIQUIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-1537
Mailing Address - Country:US
Mailing Address - Phone:781-974-0331
Mailing Address - Fax:
Practice Address - Street 1:40 HEATHER LN
Practice Address - Street 2:
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1111
Practice Address - Country:US
Practice Address - Phone:781-974-0331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist