| NPI | 1275905648 |
|---|---|
| Former Name | MEGAN LYNN LAWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.005675) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL ML3711264) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2025-04-17 |