NPI 1225015134

Lydia B Carollo, PAC

Practitioner Physician Assistant Williamstown, MA

Practice location

Address: 197 Adams Rd, Williamstown, MA 01267-2930
Phone: (413) 664-5900
Fax: (413) 664-5767

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 24 (MA)

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Registry record

NPI: 1225015134
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2005
Record last updated: 7 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.