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

Lily C. Coulon, PA

Individual provider Physician Assistant · NPI 1548881832

Lily C. Coulon, PA is a Physician Assistant in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA7517 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PENDING (MA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1548881832
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 28, 2020
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

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