MEDICARE: MS. BONI M LAMSON MSW

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
1	1041C0700X	Clinical Social Worker	1666	NH
2	101YM0800X	Mental Health Counselor	1666	NH

General Provider Information

NPI Number	:	1447416730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BONI M LAMSON MSW

Provider Business Mailing Address
First Line	:	6 CHENELL DR STE 100
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-8514
Country	:	US
Telephone Number	:	607-725-8740
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 CHENELL DR STE 100
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-8514
Country	:	US
Telephone Number	:	607-725-8740
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2008
Last Update Date	:	01/14/2019

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