Healthcare Provider Details

I. General information

NPI: 1215901319
Provider Name (Legal Business Name): LYNNE UHL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 BROOKLINE AVE YA-309
BOSTON MA
02215-5400
US

IV. Provider business mailing address

10 STANDISH RD
WELLESLEY MA
02481-5327
US

V. Phone/Fax

Practice location:
  • Phone: 617-667-3648
  • Fax: 617-667-4533
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number77801
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number77801
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: