| NPI | 1649533035 |
|---|---|
| Other Name | LEE COGHLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 006463) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 006463) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2017-02-01 |