Healthcare Provider Details

I. General information

NPI: 1306870514
Provider Name (Legal Business Name): LORI SAVOY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 PLEASANT ST
CONCORD NH
03301-7560
US

IV. Provider business mailing address

88 N SPRING ST
CONCORD NH
03301-4206
US

V. Phone/Fax

Practice location:
  • Phone: 603-226-6122
  • Fax: 603-229-5079
Mailing address:
  • Phone: 603-715-1133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number0427
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: