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Individual

SCOTT M LANNON

Active
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Individual

SCOTT M LANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPNP

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
262899
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
063595-23
NH

Other

Enumeration date
11/05/2009
Last updated
01/13/2026
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