Provider Demographics
NPI:1770235426
Name:LAHAIE, JULIA MAE (PA-C)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:MAE
Last Name:LAHAIE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:53 BAKER LN
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-2280
Mailing Address - Country:US
Mailing Address - Phone:774-766-8629
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:WHITE 1
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-4100
Practice Address - Fax:617-726-7415
Is Sole Proprietor?:No
Enumeration Date:2022-01-24
Last Update Date:2022-01-29
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant