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NPI Code Detail

MEDICARE: PEAK PERFORMANCE MEDICINE PLLC

MEDICARE: PEAK PERFORMANCE MEDICINE PLLC
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
1111N00000XChiropractor
2363L00000XNurse Practitioner
3208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1902586845
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEAK PERFORMANCE MEDICINE PLLC
Provider Business Mailing Address
First Line : 270 LAFAYETTE RD UNIT 6
Second Line :
City : SEABROOK
State : NH
Zip : 03874-4541
Country : US
Telephone Number : 603-474-9990
Fax Number : 603-474-9996
Provider Business Practice Location Address
First Line : 270 LAFAYETTE RD UNIT 6
Second Line :
City : SEABROOK
State : NH
Zip : 03874-4541
Country : US
Telephone Number : 603-474-9990
Fax Number : 603-474-9996
Authorized Official
Title or Position : OWNER
Name : TYLER D LAMSON
Credential : DC, AGACNP-BC
Telephone Number : 603-474-9990
Provider Enumeration Date : 07/24/2023
Last Update Date : 07/24/2023

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Directions to “PEAK PERFORMANCE MEDICINE PLLC ” Practice Location

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