Individual
MRS. LISA ROSE EDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5091
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
071885-23
NH
363LA2200X
Adult Health Nurse Practitioner
Primary
071885-23
NH
Other
Enumeration date
07/17/2024
Last updated
08/01/2024
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