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Organization
LRGHEALTHCARE
Active
Organization
LRGHEALTHCARE
Active
Parent organization
LRGHEALTHCARE
Other names
LRGH Professional Billing Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
LRGHEALTHCARE
Authorized official
KEVIN W DONOVAN (PRESIDENT/CEO)
(603) 524-3211
Entity
Organization
Contact information
Practice address
85 SPRING ST, LACONIA, NH 03246-3113
(603) 524-3211
Mailing address
PO BOX 1327, LACONIA, NH 03247-1327
(603) 524-3211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NH
207R00000X
Internal Medicine Physician
—
NH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
NH
207RH0003X
Hematology & Oncology Physician
—
NH
207RP1001X
Pulmonary Disease Physician
—
NH
207V00000X
Obstetrics & Gynecology Physician
—
NH
208000000X
Pediatrics Physician
—
NH
2086S0129X
Vascular Surgery Physician
—
NH
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3076749
—
NH
01
—
59780
CIGNA
NH
01
—
LRGH703507
ANTHEM
NH
Enumeration date
10/16/2006
Last updated
01/15/2019
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