LANNY ROSE

BECKET, MA
NPI1073998225
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  9098)
Enumeration Date2015-07-29
Last Update Date2015-07-29
Business Address
MR. LANNY ROSE
536 BROKER HILL ROAD
BECKET, MA 01223
Phone number: 413-770-2928
Mailing Address
MR. LANNY ROSE
PO BOX 412
BECKET, MA 01223-0412
Phone number: 413-770-2928