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NPI Code Detail

MEDICARE: LYNDSAY N KILGOUR LCSW

MEDICARE: LYNDSAY N KILGOUR LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist
21041C0700XClinical Social WorkerLCSW2140237MA

General Provider Information

NPI Number : 1457509440
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDSAY N KILGOUR LCSW
Provider Business Mailing Address
First Line : 126 PHOENIX AVE
Second Line :
City : LOWELL
State : MA
Zip : 01852-4991
Country : US
Telephone Number : 978-453-8331
Fax Number :
Provider Business Practice Location Address
First Line : 126 PHOENIX AVE
Second Line :
City : LOWELL
State : MA
Zip : 01852-4991
Country : US
Telephone Number : 978-453-8331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 04/12/2025

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1629618202 — MARY CASSIDY CONWAY PHYSICAL THERAPIST
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1437766706 — NATALIA MAGBE VARGAS SANCHEZ REGISTERED NURSE
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