Organization
LAKES REGION ANESTHESIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EVANS MD (PRESIDENT OWNER)
(603) 293-2798
Entity
Organization
Contact information
Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 524-3211
Mailing address
PO BOX 1328, AUBURN, ME 04211-1328
(207) 784-9185
(207) 784-1594
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30002437
—
NH
Enumeration date
11/08/2006
Last updated
07/21/2022
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