Individual
MEGHAN THERESE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5104
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
020918
NY
363A00000X
Physician Assistant
Primary
1396
NH
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/17/2017
Last updated
12/13/2019
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