MEDICARE: DR. LAUREN PHYLLIS RODIER APRN

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	363LP2300X	Primary Care Nurse Practitioner	1010124226	VT
2	163WW0101X	Ambulatory Women's Health Care Registered Nurse	NP101.0124226	VT
3	363LF0000X	Family Nurse Practitioner	739	HI
4	363LF0000X	Family Nurse Practitioner	NP101.0124226	VT
5	363LP2300X	Primary Care Nurse Practitioner	NP101.0124226	VT
6	363LW0102X	Women's Health Nurse Practitioner	739	HI
7	363LW0102X	Women's Health Nurse Practitioner	NP101.0124226	VT

General Provider Information

NPI Number	:	1912993916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN PHYLLIS RODIER APRN

Provider Business Mailing Address
First Line	:	186 W ELM ST
Second Line	:
City	:	LITTLETON
State	:	NH
Zip	:	03561-4613
Country	:	US
Telephone Number	:	505-288-0706
Fax Number	:

Provider Business Practice Location Address
First Line	:	264 COTTAGE ST
Second Line	:
City	:	LITTLETON
State	:	NH
Zip	:	03561-4101
Country	:	US
Telephone Number	:	603-575-6700
Fax Number	:	603-575-6778

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

Provider Enumeration Date	:	09/25/2005
Last Update Date	:	09/14/2020

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