Individual
JULIANNE CARGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805
(781) 744-8000
Mailing address
LAHEY PROVIDER ENROLLMENT DEPT., 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5569
MA
Other
Enumeration date
01/05/2016
Last updated
02/01/2019
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