Healthcare Provider Details

I. General information

NPI: 1689993891
Provider Name (Legal Business Name): LAMPREY HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 03/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 PROSPECT ST
NASHUA NH
03060-3921
US

IV. Provider business mailing address

207 S MAIN ST
NEWMARKET NH
03857-1843
US

V. Phone/Fax

Practice location:
  • Phone: 603-659-3106
  • Fax:
Mailing address:
  • Phone: 603-659-3106
  • Fax: 603-659-5892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNH

VIII. Authorized Official

Name: MR. GREGORY WHITE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 603-659-2494