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 | 2024-11-05 |