Larochelle, Lynn Bujnevicie
Larochelle, Lynn Bujnevicie is an individual health care provider with primary practice located at 300 Stafford St #154, Springfield MA 01104-4110. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Larochelle, Lynn Bujnevicie can be contacted via phone (413) 781-5735.Contact Information
Primary practice address
300 Stafford St #154
Springfield MA 01104-4110
Phone: (413) 781-5735
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA1379 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 001164 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1379 | Massachusetts |
Profile Details
| NPI number | 1083704829 |
|---|---|
| LBN Legal business name | Larochelle, Lynn Bujnevicie |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Feb 11th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083704829 | NPPES |
| Massachusetts | Other | 1379 | LICENSE |
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