Healthcare Provider Details

I. General information

NPI: 1346632999
Provider Name (Legal Business Name): RACHAEL THOMPSON LASHUA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHAEL THOMPSON STANLEY

II. Dates (important events)

Enumeration Date: 02/19/2015
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 NORTHWEST BLVD IMMEDIATE CARE OF SOUTHERN NH
NASHUA NH
03063-4068
US

IV. Provider business mailing address

PO BOX 74008272
CHICAGO IL
60674-8272
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-2273
  • Fax: 603-577-5191
Mailing address:
  • Phone: 702-899-0595
  • Fax: 702-977-1496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1069
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: