Individual
LEE KATHLEEN YERGEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
595 PAWTUCKET BLVD,, 2ND FLOOR, LOWELL, MA 01854
(978) 970-1607
(978) 970-1115
Mailing address
595 PAWTUCKET BLVD,, 2ND FLOOR, LOWELL, MA 01854
(978) 970-1607
(978) 970-1115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0951
NH
363AM0700X
Medical Physician Assistant
0951
NH
363AM0700X
Medical Physician Assistant
Primary
PA4664
MA
363AS0400X
Surgical Physician Assistant
0951
NH
Other
Enumeration date
06/18/2013
Last updated
01/14/2021
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