Individual
LARA MELCHIONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
21 HIGHLAND AVE, SUITE 3-4A, NEWBURYPORT, MA 01950-3872
(978) 462-8300
(978) 462-8301
Mailing address
21 HIGHLAND AVE, SUITE 3-4A, NEWBURYPORT, MA 01950-3872
(978) 462-8300
(978) 462-8301
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA3916
LICENSE
MA
Enumeration date
12/02/2009
Last updated
11/11/2015
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