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NPI Code Detail

MEDICARE: LETTI R HIBBARD

MEDICARE: LETTI R HIBBARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
22255A2300XAthletic Trainer

General Provider Information

NPI Number : 1417506957
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETTI R HIBBARD
Provider Business Mailing Address
First Line : 218 NATICOOK RD
Second Line :
City : MERRIMACK
State : NH
Zip : 03054-4601
Country : US
Telephone Number : 603-261-7777
Fax Number :
Provider Business Practice Location Address
First Line : 315 TURNPIKE ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-5800
Country : US
Telephone Number : 978-837-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2019
Last Update Date : 06/09/2021

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Directions to “ LETTI R HIBBARD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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