# LRGHEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LRGHEALTHCARE
- **Other names:** LRGH Professional Billing Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700976032
- **Legal business name:** LRGHEALTHCARE
- **Authorized official:** KEVIN W DONOVAN (PRESIDENT/CEO)
- **Authorized official phone:** (603) 524-3211

## Contact information

- **Practice address:** 85 SPRING ST, LACONIA, NH 03246-3113
- **Practice address phone:** (603) 524-3211
- **Mailing address:** PO BOX 1327, LACONIA, NH 03247-1327
- **Mailing address phone:** (603) 524-3211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NH | Yes |
| 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

- **Enumeration date:** 10/16/2006
- **Last updated:** 01/15/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3076749 | — | NH |
| 01 | — | 59780 | CIGNA | NH |
| 01 | — | LRGH703507 | ANTHEM | NH |