Individual
DYLAN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GENERAL ST, LAWRENCE, MA 01841-2961
(978) 683-4000
Mailing address
1 GENERAL ST, LAWRENCE, MA 01841-2961
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
23.004076
CT
363AM0700X
Medical Physician Assistant
Primary
PA7103
MA
Other
Enumeration date
03/07/2018
Last updated
03/25/2020
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