NPI | 1972648111 |
---|---|
Former Name | LINDSAY LEIGH LABORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0839) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NH 0325) |
363AS0400X Physician Assistant, Surgical (Licence: NH 0839) | |
Enumeration Date | 2007-02-21 |
Last Update Date | 2023-06-29 |