Healthcare Provider Details

I. General information

NPI: 1275161234
Provider Name (Legal Business Name): LUCAS WILLIAM MAYER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 HIGHLAND ST
LACONIA NH
03246-3235
US

IV. Provider business mailing address

250 PLEASANT ST
CONCORD NH
03301-2598
US

V. Phone/Fax

Practice location:
  • Phone: 603-527-4500
  • Fax: 603-227-7828
Mailing address:
  • Phone: 603-415-6624
  • Fax: 603-227-7827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number40156
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35.152833
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: