Healthcare Provider Details

I. General information

NPI: 1679515837
Provider Name (Legal Business Name): ALBERT J LANTINEN JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HARBOUR WOMEN'S HEALTH 155 GRIFFIN STREET
PORTSMOUTH NH
03801-4125
US

IV. Provider business mailing address

795 MIDDLE ST
PORTSMOUTH NH
03801-5014
US

V. Phone/Fax

Practice location:
  • Phone: 603-431-6011
  • Fax: 603-431-6227
Mailing address:
  • Phone: 603-431-5462
  • Fax: 603-431-6227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number6927
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: