DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. LORRAINE DAVIS WAIVER

MEDICARE: MS. LORRAINE DAVIS WAIVER
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
1106S00000XBehavior TechnicianNH

General Provider Information

NPI Number : 1457839078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORRAINE DAVIS WAIVER
Provider Business Mailing Address
First Line : 87 WASHINGTON ST
Second Line :
City : CONWAY
State : NH
Zip : 03818-6044
Country : US
Telephone Number : 603-447-3905
Fax Number :
Provider Business Practice Location Address
First Line : 25 W MAIN ST
Second Line :
City : CONWAY
State : NH
Zip : 03818-6142
Country : US
Telephone Number : 603-447-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2018
Last Update Date : 06/17/2026

Similar Medicare Providers

1073093787 — CHELSEA GIGUERE BS
Practice Location Address:
25 W MAIN ST
CONWAY, NH
03818-6142
Practice Phone: 603-447-2111
Practice Fax:
1700955028 — NORTHERN HUMAN SERVICES
Practice Location Address:
25 W MAIN ST
CONWAY, NH
03818-6142
Practice Phone: 603-447-3347
Practice Fax:
1306984083 — MS. STEPHANIE ALICE GOULD MED.,LCMHC
Practice Location Address:
25 W MAIN ST
CONWAY, NH
03818-6142
Practice Phone: 603-447-2111
Practice Fax:
1093834509 — WILLIAM HYDE
Practice Location Address:
25 W MAIN ST
CONWAY, NH
03818-6142
Practice Phone: 603-447-2111
Practice Fax:
1841310786 — GUY F TILLSON
Practice Location Address:
25 W MAIN ST
CONWAY, NH
03818-6142
Practice Phone: 603-447-2111
Practice Fax:
1689794604 — MELISSA MYERS MD
Practice Location Address:
25 W MAIN ST
CONWAY, NH
03818-6142
Practice Phone: 603-447-2111
Practice Fax:

Directions to “ MS. LORRAINE DAVIS WAIVER” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.