Healthcare Provider Details

I. General information

NPI: 1316996432
Provider Name (Legal Business Name): LOREN SOLNIT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 12/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 SWIFTWATER RD SUITE 3
WOODSVILLE NH
03785-1447
US

IV. Provider business mailing address

79 SWIFTWATER RD SUITE 3
WOODSVILLE NH
03785-1447
US

V. Phone/Fax

Practice location:
  • Phone: 602-747-3740
  • Fax:
Mailing address:
  • Phone: 602-747-3740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberNH9055
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: