Individual
BRENNA LAWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
830 WASHINGTON ST, BOSTON, MA 02111-1521
(339) 793-1238
Mailing address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA8496
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2021
Last updated
06/14/2025
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