Healthcare Provider Details

I. General information

NPI: 1528236825
Provider Name (Legal Business Name): ELIZABETH LAPOINTE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH NADOLSKI PA-C

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 12/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 MAIN STREET URGENT CARE LEOMINSTER
LEOMINSTER MA
01453-2005
US

IV. Provider business mailing address

60 HOSPITAL RD WACHUSETT EMERGENCY PHYSICIANS, PA-C
LEOMINSTER MA
01453-2005
US

V. Phone/Fax

Practice location:
  • Phone: 978-786-3483
  • Fax: 978-466-8821
Mailing address:
  • Phone: 978-466-2995
  • Fax: 978-466-2993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA2494
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: