Search › Massachusetts › 363L00000X
Jessica Bannon
NPI 1457185357 · on the registry since 2024 · sole proprietor
Practice
- Address
- 41 Burlington Mall Road
Burlington, MA 01805 - Phone
- (781) 744-5100
- Organisation at this address
- Lahey Clinic Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 105
Additional practice sites
- 100 Mcgregor St, Manchester, NH
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2100X
- Licence states on file
- NH, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts