Lawrence Civil
Physician Assistant in Canajoharie, NY. Individual provider (NPI-1).
NPI number1710698030
StatusActive
Last updated in NPPESOct 1, 2026
Details
- NPI
- 1710698030
- Entity type
- Individual (NPI-1)
- Name
- Lawrence Civil
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2022
- Certification date
- Oct 1, 2026
- Last updated
- Oct 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
48 Erie BlvdCanajoharie, NY 13317-1133
Phone 518-673-2573 · Fax 518-673-2781
Mailing address
48 Erie BlvdCanajoharie, NY 13317-1133
Phone 518-673-2573 · Fax 518-673-2781
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