Individual
DIANE DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
106 HANOVER ST, LEBANON, NH 03766-1042
(603) 448-0447
(603) 448-1089
Mailing address
106 HANOVER ST, LEBANON, NH 03766-1042
(603) 448-0447
(603) 448-1089
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0025
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30330772
—
NH
Enumeration date
09/20/2006
Last updated
07/08/2007
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