Individual
LAURA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
23 PORTSMOUTH AVE, STRATHAM, NH 03885-2520
(603) 942-2171
(603) 371-3104
Mailing address
111 NEW HAMPSHIRE AVE STE 2, PORTSMOUTH, NH 03801-2864
(802) 909-2053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1303
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1303
NH LICENSE
NH
Enumeration date
06/14/2018
Last updated
01/31/2024
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