Healthcare Provider Details

I. General information

NPI: 1528636545
Provider Name (Legal Business Name): LEA BRITTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CRESCENT ST
PENACOOK NH
03303-1412
US

IV. Provider business mailing address

250 PLEASANT ST
CONCORD NH
03301-2598
US

V. Phone/Fax

Practice location:
  • Phone: 603-753-4302
  • Fax: 603-227-7570
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20509
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: