LYNN BUJNEVICIE LAROCHELLE (NPI# 1083704829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083704829 |
| Entity Type | Individual |
| Full Name | LYNN BUJNEVICIE LAROCHELLE |
| Other Name | LYNN LAROCHELLE |
| Credential | PAC |
| Practice Address |
300 Stafford St #154 Springfield MA 01104-4110 |
| Practice Telephone | 4137815735 |
| Mailing Telephone | 4137815735 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2015-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1379 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
001164 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1379 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENSE | 1379 | 01 |
| Street Address |
300 STAFFORD ST #154 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497756092 | Robert Philip Hoffman | Internal Medicine | 300 Stafford St, Suite 306, Springfield, MA 01104-3581 | 2005-08-03 |
| 1932601887 | Luybang Trinh | Internal Medicine | 300 Stafford St, Springfield, MA 01104-4110 | 2018-03-07 |
| 1730621491 | Chrispina Marunga Chitemerere | Nurse Practitioner | 300 Stafford St, Springfield, MA 01104-4110 | 2016-11-12 |
| 1245615285 | Pioneer Continuing Care Providers, PC | Family Medicine | 300 Stafford St, Suite 200, Springfield, MA 01104-4110 | 2015-07-20 |
| 1255751509 | Alise Bartolucci | Nurse Practitioner | 300 Stafford St, Suites 101, 154 & 161, Springfield, MA 01104-4110 | 2014-04-24 |
| 1407297971 | Samantha Lee Lyman | Physician Assistant | 300 Stafford St, Springfield, MA 01104 | 2013-07-12 |
| 1346511243 | Pioneer Valley Cardiology Associates, Inc | Specialist | 300 Stafford St, Springfield, MA 01104 | 2012-01-24 |
| 1235456385 | Christopher R Russo | Internal Medicine | 300 Stafford St, # 154 / 101, Springfield, MA 01104-4110 | 2010-04-29 |
| 1952630493 | Valley Podiatry Associates, PC | Podiatrist | 300 Stafford St, Suite 256, Springfield, MA 01104-3581 | 2009-12-11 |
| 1174776454 | Sleepcures LLC | Clinic/Center | 300 Stafford St, Ste 102, Springfield, MA 01104-3581 | 2008-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1740740737 | Western New England University | Physician Assistant | 215 Wilbraham Road, Springfield, MA 01119 | 2019-03-25 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| 1770850216 | Lauren Jennifer Navas | Physician Assistant | 100 River St Ste 2, Springfield, VT 05156-2930 | 2011-11-29 |
| 1295885168 | Jacqueline Kernaghan | Physician Assistant | 723 Saxer Ave, Springfield, PA 19064-3503 | 2007-01-11 |
| 1295746733 | Gwen Wright | Physician Assistant | 194 W Sproul Rd, Suite 105, Springfield, PA 19064-2027 | 2006-08-10 |
| 1164490710 | Stacie L Pierce | Physician Assistant | 3721 W El Castile St, Springfield, MO 65807-5431 | 2006-03-09 |
| 1245206432 | Annette K Bates | Physician Assistant | 819 Worcester St Ste 3, Springfield, MA 01151-1056 | 2006-02-27 |
| 1518947159 | Louis Patrick Favata | Physician Assistant | 140 High St., Springfield, MA 01199 | 2006-01-19 |
| 1649257031 | Scott D Rubin | Physician Assistant | 3400 Main Street, Springfield, MA 01107-1113 | 2005-12-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
Please comment or provide details below to improve the information on LYNN BUJNEVICIE LAROCHELLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.