Individual
BRIANNA LAWLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 BIRNIE AVE STE 201, SPRINGFIELD, MA 01107-1121
(413) 785-4666
Mailing address
87 DAYTON ST, CHICOPEE, MA 01013-1429
(413) 459-8220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7825
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1141350
NCCPA ID
MA
Enumeration date
08/01/2017
Last updated
11/15/2023
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