Individual
MR. CONNOR JOHN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 MAPLE ST STE 210, GILFORD, NH 03249-6580
(603) 527-7114
Mailing address
14 MAPLE ST STE 210, GILFORD, NH 03249-6580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
08/14/2023
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