Healthcare Provider Details

I. General information

NPI: 1568535599
Provider Name (Legal Business Name): LOIS HURLEY MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 CHURCH ST
LACONIA NH
03246-3432
US

IV. Provider business mailing address

35 OLD MEADOW RD
THORNTON NH
03223-6422
US

V. Phone/Fax

Practice location:
  • Phone: 603-536-1118
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: