LAWRENCE MICHAEL DIMACALI PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1306394317- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1600 STATE ST, SALEM, OR, 973014257
- Phone
- (503) 540-6300
Specialties & Taxonomies
Physician Assistant
Primary License: OR #PA190503