| NPI | 1124019286 |
|---|---|
| Former Name | LAURIE P MENG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IL 085-02082) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-002082) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2023-05-12 |