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NPI Profile for WILLIAM C LARY IV in HYANNIS, MA.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1134883432 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 10/25/2021 | |
| Last updated | 10/25/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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WILLIAM C LARY IV
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WILLIAM C LARY IV, PA-C