Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 52460 | MA |
NPI | 1013001619 |
---|---|
Provider Name | Dr. Lawrence Bradley Pliss |
First Address | Hyannis, MA 02601 |
Second Address | Hyannis, MA 02601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |