Healthcare Provider Details

I. General information

NPI: 1881588598
Provider Name (Legal Business Name): LAUREN DUBE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ALUMNI DR STE 301
EXETER NH
03833-2123
US

IV. Provider business mailing address

PO BOX 25610
NEW YORK NY
10087-6984
US

V. Phone/Fax

Practice location:
  • Phone: 603-775-7405
  • Fax: 603-775-7424
Mailing address:
  • Phone: 603-775-7405
  • Fax: 603-775-7424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3657
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: