Healthcare Provider Details

I. General information

NPI: 1831693522
Provider Name (Legal Business Name): LINDSEY DANIELLE AUSTIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY DANIELLE FILECCIA MD

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 ASHBURTON PL FL 6
BOSTON MA
02108-2705
US

IV. Provider business mailing address

1033 37TH ST
OAKLAND CA
94608-3914
US

V. Phone/Fax

Practice location:
  • Phone: 617-366-1650
  • Fax:
Mailing address:
  • Phone: 318-422-9743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA.178689
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.141857
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: