Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENIFER R LIGHTDALE, MD
ActiveDR. JENIFER R LIGHTDALE, MD is a Pediatric Gastroenterology healthcare provider located in WORCESTER, Massachusetts. NPI 1932112380 is currently active in the NPPES registry. Verify at CMS.
Pediatric Gastroenterology · WORCESTER, MA
Registration Details
- NPI Number
- 1932112380
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2006 (20.0155593694 yrs)
- Last Updated
- Oct 28, 2020
- Licenses
-
208223 (MA)208223 (MA)
Practice Information
- Address
-
55 LAKE AVE NWORCESTER, MA, 016550002Browse MA providers · Browse ZIP 01655
- Phone
- 7744418082
- Fax
- 7744418056
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
- Additional Specialty
- Pediatric Gastroenterology
Other Pediatric Gastroenterology Providers in WORCESTER, MA
| Name | Credential | NPI |
|---|---|---|
| IDRIS Z DAHOD | M.D. | 1265485767 |
| DR. JAY G. FONG | M.D. | 1801977640 |
| GARRETT CHRISTIAN ZELLA | MD | 1164558805 |
| DR. RICHARD A LIRIO | M.D. | 1235321902 |
| KERRI B GOSSELIN | MD | 1447418496 |
| DR. ANDREW A GRIMM | MD, PHD | 1417117482 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.