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

Mo Keovongsa, PA

Individual provider Medical Physician Assistant · NPI 1710157300

Mo Keovongsa, PA is a Physician Assistant in Burlington, Massachusetts. Qualified in 2006, 20 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
20
Licensed in
MA
In the registry since
2008
Specialties on file
2
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

41 Mall Rd Lahey Clinic Inc
Burlington, MA 01805-0001
Phone: (781) 744-7000
Fax: (781) 744-5352
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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 PA2311 (MA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence AP2311 (MA)

Record details

NPI number1710157300
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 10, 2008
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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