Healthcare Provider Details

I. General information

NPI: 1215844899
Provider Name (Legal Business Name): REESE LUNDRIGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 UNION ST
LAWRENCE MA
01840-1866
US

IV. Provider business mailing address

23 N BELGIAN RD
DANVERS MA
01923-2434
US

V. Phone/Fax

Practice location:
  • Phone: 978-682-7289
  • Fax:
Mailing address:
  • Phone: 978-606-8947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW2143228
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: