JENIFER R LIGHTDALE

WORCESTER, MA
NPI1932112380
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: MA  208223)
Additional Taxonomies208000000X Pediatrics
(Licence: MA  208223)
Enumeration Date2006-08-15
Last Update Date2020-10-28
Business Address
Dr. JENIFER R LIGHTDALE MD
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 774-441-8082
Mailing Address
Dr. JENIFER R LIGHTDALE MD
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: 800-225-8885