Healthcare Provider Details

I. General information

NPI: 1518457977
Provider Name (Legal Business Name): DR. LUCY CLAIRE FLYNN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2018
Last Update Date: 06/21/2021
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 BOYLSTON ST STE 530
CHESTNUT HILL MA
02467-2475
US

IV. Provider business mailing address

850 BOYLSTON ST STE 530
CHESTNUT HILL MA
02467-2475
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-9900
  • Fax:
Mailing address:
  • Phone: 617-732-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number287510
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: