Healthcare Provider Details

I. General information

NPI: 1922096247
Provider Name (Legal Business Name): LAWRENCE E SCHLEPPHORST M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 09/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 PLEASANT ST PILLSBURY BUILDING, SUITE G300
CONCORD NH
03301-2588
US

IV. Provider business mailing address

1750 ELM STREET SUITE 201C
MANCHESTER NH
03103-2903
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-9995
  • Fax: 603-226-0859
Mailing address:
  • Phone: 603-224-9995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number7658
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: