Provider Demographics
NPI:1679023931
Name:RANDALL, LINDSEY LAUREN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:LAUREN
Last Name:RANDALL
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:230 BROADWAY STE 201
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-2320
Mailing Address - Country:US
Mailing Address - Phone:781-334-8781
Mailing Address - Fax:464-333-9692
Practice Address - Street 1:230 BROADWAY STE 201
Practice Address - Street 2:
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-2320
Practice Address - Country:US
Practice Address - Phone:781-334-8781
Practice Address - Fax:464-333-9692
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2025-02-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAPA5821363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant