Organization
LRGHEALTHCARE
Active
Parent organization
LRGHEALTHCARE
Other names
LRGHealthcare Ambulatory Surgical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LRGHEALTHCARE
Authorized official
HENRY D LIPMAN EVP-CFO (CHIEF FINANCIAL OFFICER)
(603) 524-3211
Entity
Organization
Contact information
Practice address
14 MAPLE ST, GILFORD, NH 03249-6580
(603) 524-7514
Mailing address
PO BOX 4144, WOBURN, MA 01888-4144
(603) 524-3211
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
02824
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30622386
—
NH
01
—
57396
CIGNA
NH
Enumeration date
11/06/2006
Last updated
05/27/2008
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