MEDICARE: CHRISTINE ANN LANOIX MA, LADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	0514	NH

General Provider Information

NPI Number	:	1043459977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ANN LANOIX MA, LADC

Provider Business Mailing Address
First Line	:	40 WINTER ST
Second Line	:	SUITE 306 G
City	:	ROCHESTER
State	:	NH
Zip	:	03867-3153
Country	:	US
Telephone Number	:	603-332-8887
Fax Number	:

Provider Business Practice Location Address
First Line	:	97 N MAIN ST
Second Line	:
City	:	ROCHESTER
State	:	NH
Zip	:	03867-1924
Country	:	US
Telephone Number	:	603-332-8887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2009
Last Update Date	:	01/30/2015

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