Basic Information
| Provider Information | |||||||||
| NPI: | 1740238096 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KNIGHT | ||||||||
| FirstName: | LYNETTE | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 848647 | ||||||||
| Address2: | |||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 022848647 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9783424437 | ||||||||
| FaxNumber: | 9783436572 | ||||||||
| Practice Location | |||||||||
| Address1: | 881 SOUTH ST | ||||||||
| Address2: | |||||||||
| City: | FITCHBURG | ||||||||
| State: | MA | ||||||||
| PostalCode: | 014206252 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9783424437 | ||||||||
| FaxNumber: | 9783436572 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2006 | ||||||||
| LastUpdateDate: | 05/09/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 59972 | MA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 201047951 | 01 | MA | CIGNA | OTHER | 201047951 | 01 | MA | UNITED HEALTH | OTHER | 20695 | 01 | MA | HARVARD PILGRIM | OTHER | J07748 | 01 | MA | BLUE CROSS BLUE SHIELD | OTHER | 6232 | 01 | MA | FALLON COMMUNITY HEALTH | OTHER | 987950 | 01 | MA | NETWORK HEALTH | OTHER | 3049159 | 05 | MA | MEDICAID | 201047951 | 01 | MA | PHCS | OTHER | 059972 | 01 | MA | TUFTS HEALTH PLAN | OTHER |