NPI | 1295786911 |
---|---|
Former Name | LAUREN T LABRECQUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA741) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 2093) |
363AM0700X Physician Assistant, Medical (Licence: ME PA-741) | |
Enumeration Date | 2006-05-15 |
Last Update Date | 2023-10-17 |