Individual
SAMANTHA LEE LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 STAFFORD ST STE 154, SPRINGFIELD, MA 01104-3583
(413) 748-7095
(413) 733-5604
Mailing address
300 STAFFORD ST STE 154, SPRINGFIELD, MA 01104-3583
(413) 748-7095
(413) 733-5604
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
002938
CT
363AM0700X
Medical Physician Assistant
Primary
PA6554
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003029386
—
CT
Enumeration date
07/12/2013
Last updated
06/28/2021
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