Individual
MARY JO LANIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3073 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-7101
(603) 356-5461
Mailing address
PO BOX 5001, NORTH CONWAY, NH 03860-5001
(603) 356-5461
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1531
ME
Other
Enumeration date
10/19/2006
Last updated
03/31/2010
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