=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841408937
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LORIE ANN GREENWOOD D.C.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/20/2007
-----------------------------------------------------
Last Update Date | 12/20/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24 HANOVER ST STE 212-A
-----------------------------------------------------
City | LEBANON
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03766-1334
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-727-9680
-----------------------------------------------------
Fax | 603-727-9561
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 24 HANOVER ST STE 212-A
-----------------------------------------------------
City | LEBANON
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03766-1334
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-727-9680
-----------------------------------------------------
Fax | 603-727-9561
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 7820307
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 782-0307
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------