Provider Demographics
NPI:1609673599
Name:MCDERMOTT, LINDSAY (LDO)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:
Last Name:MCDERMOTT
Suffix:
Gender:
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:677 TIMPANY BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-3452
Mailing Address - Country:US
Mailing Address - Phone:978-894-4542
Mailing Address - Fax:
Practice Address - Street 1:677 TIMPANY BLVD
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-3452
Practice Address - Country:US
Practice Address - Phone:978-894-4542
Practice Address - Fax:978-632-1962
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADOP100096156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician