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Individual

LUCAS D SHIPPEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
454 OLD STREET RD, SUITE 301, PETERBOROUGH, NH 03458-1200
(603) 924-4468
(603) 924-4977
Mailing address
454 OLD STREET RD, SUITE 301, PETERBOROUGH, NH 03458-1200
(603) 924-4468
(603) 924-4977

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12764
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30223695
NH
Enumeration date
07/18/2006
Last updated
11/10/2015
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