Individual
KAREN E LYBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
50 MEMORIAL DR, LEOMINSTER, MA 01453-2238
(978) 466-2052
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9263
MA
363AM0700X
Medical Physician Assistant
PA9102676
FL
Other
Enumeration date
02/01/2006
Last updated
07/26/2023
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