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

MS. Lynn Wiwanto

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639707748

MS. Lynn Wiwanto is an Internal Medicine in Woburn, Massachusetts. Graduated from Boston University School of Medicine in 2020, 6 years ago. Practices with Beth Israel Lahey Health Primary Care, Inc, a 353-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
6
Trained at
Boston University School of Medicine
Licensed in
MA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

23 Warren Ave Ste 100
Woburn, MA 01801-4979
Phone: (781) 933-1198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1493 Cambridge Street, Cambridge, MA 02139 — (617) 665-1000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1013861 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639707748
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024
Mailing address1493 Cambridge Street, Cambridge, MA 02139

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Beth Israel Lahey Health Primary Care, Inc — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Woburn