Individual provider · Type 1 NPI

Lynn Bujnevicie Larochelle, PAC

Medical Physician Assistant · Springfield, MA

NPI number 1083704829 Active

Practice location

300 Stafford St, #154
Springfield, MA 01104-4110

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA1379 (MA)
Medical Physician Assistant 363AM0700X001164 (CT)
Medical Physician Assistant Primary 363AM0700X1379 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1083704829

Lynn Bujnevicie Larochelle, PAC's National Provider Identifier is 1083704829, issued on Oct 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield, MA. The record was last updated on Feb 11, 2015.