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NPI Code Detail

MEDICARE: SUSAN LESSARD ARNP

MEDICARE: SUSAN LESSARD ARNP
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
1363LF0000XFamily Nurse Practitioner02885522303NH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00141335OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20288525001OTHERNHCIGNA HEALTHCARE
35830418OTHERAETNA GROUP
40285522303OTHERNHSTATE LICENSE #
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
62306306YPNH02OTHERNHANTHEM BC/BS

General Provider Information

NPI Number : 1871595876
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN LESSARD ARNP
Provider Business Mailing Address
First Line : 59 PAGE HILL RD
Second Line :
City : BERLIN
State : NH
Zip : 03570-3531
Country : US
Telephone Number : 603-752-5797
Fax Number : 603-752-8231
Provider Business Practice Location Address
First Line : 59 PAGE HILL RD
Second Line :
City : BERLIN
State : NH
Zip : 03570-3531
Country : US
Telephone Number : 603-752-2040
Fax Number : 603-752-7797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 03/07/2023

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