Individual provider · Type 1 NPI

Laura Lee Connolly, PAC

Surgical Physician Assistant · Westchester, IL

NPI number 1255398558 Active

Practice location

3 Westbrook Corporate Ctr, Ste 1000
Westchester, IL 60154-5703

Fax (708) 343-9235

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085002150 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1255398558

Laura Lee Connolly, PAC's National Provider Identifier is 1255398558, issued on Apr 28, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Westchester, IL. The record was last updated on Nov 16, 2009.