Individual
WILLIAM CHURCHILL LARY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
89 LEWIS BAY RD STE 4, HYANNIS, MA 02601-5245
(508) 418-6600
Mailing address
89 LEWIS BAY RD STE 4, HYANNIS, MA 02601-5245
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
PA8298
MA
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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