| NPI | 1316598709 |
|---|---|
| Former Name | LAWRENCE TODD SHERRER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7274) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 4605) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2021-12-27 |