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Physician Compare National (NPI:1407980584)

HEALTHCARE PROVIDER: LISA RAE DELAHANTY ARNP,MSN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1407980584
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5991841553
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20091013000134
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name DELAHANTY
Individual professional last name
Provider First Name LISA
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name BOSTON UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1984
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name CONCORD HOSPITAL INC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 6103721790
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 335
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 246 PLEASANT ST
Group Practice or individual's line 1 address
City CONCORD
Group Practice or individual's city
State NH
Group Practice or individual's state
Zip Code 033012548
Group Practice or individual's zip code (9 digits when available)
Phone Number 6032249661
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 300001
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 CONCORD HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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