Provider Demographics
NPI:1629577887
Name:LEMAY, EMILY ELIZABETH (PA)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ELIZABETH
Last Name:LEMAY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:ELIZABETH
Other - Last Name:LEWANDOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 CUTTING AVE
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2207
Mailing Address - Country:US
Mailing Address - Phone:207-577-4412
Mailing Address - Fax:
Practice Address - Street 1:11 CUTTING AVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-2207
Practice Address - Country:US
Practice Address - Phone:207-577-4412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA6408363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant