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
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 085002150 (IL) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Westchester
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.