MEDICARE: DR. LISA N CONANT DC

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	111N00000X	Chiropractor	CHI3418	MA
2	111N00000X	Chiropractor	878	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	092728	OTHER	IL	HEALTHLINK
2	8482040	OTHER	IL	BC/BS #

General Provider Information

NPI Number	:	1992738033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA N CONANT DC

Provider Business Mailing Address
First Line	:	270 LAFAYETTE RD UNIT 6
Second Line	:
City	:	SEABROOK
State	:	NH
Zip	:	03874-4541
Country	:	US
Telephone Number	:	603-474-9990
Fax Number	:	217-544-4039

Provider Business Practice Location Address
First Line	:	270 LAFAYETTE RD UNIT 6
Second Line	:
City	:	SEABROOK
State	:	NH
Zip	:	03874-4541
Country	:	US
Telephone Number	:	603-474-9990
Fax Number	:	217-544-4039

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

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	08/02/2023

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Directions to “ DR. LISA N CONANT DC” Practice Location

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