Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethan Dionne, PA-C

Individual provider Physician Assistant · NPI 1588013908

Ethan Dionne, PA-C is a Physician Assistant in Lawrence, Massachusetts. Qualified in 2015, 11 years ago. Practices with Lgh Medical Group, Inc, a 163-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
11
Licensed in
MA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

354 Merrimack St Ste 1
Lawrence, MA 01843-1755
Phone: (978) 687-2321
Fax: (978) 722-7239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA5740 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA5740 (MA)

Record details

NPI number1588013908
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 7, 2016
Last updated in NPPESNovember 29, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Lgh Medical Group, Inc. — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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