Individual
IVY LORENA RIANO MONSALVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(508) 383-1572
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
276526
MA
207RH0003X
Hematology & Oncology Physician
Primary
24645
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2018
Last updated
06/19/2024
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