Provider Demographics
NPI:1205712767
Name:EAGLE, LINDSAY (MASTER'S CANDIDATE)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:EAGLE
Suffix:
Gender:F
Credentials:MASTER'S CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 MELLEN ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-2757
Mailing Address - Country:US
Mailing Address - Phone:857-331-6331
Mailing Address - Fax:
Practice Address - Street 1:23 MELLEN ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-2757
Practice Address - Country:US
Practice Address - Phone:857-331-6331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program