Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 214489 | MA |
NPI | 1073745287 |
---|---|
Provider Name | Laura W Mccarron |
First Address | Hyannis, MA 02601-1866 |
Second Address | Hyannis, MA 02601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2009 |
Last Update Date | 18/05/2010 |