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Individual

MARTHA MCGOWAN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
879 LAFAYETTE RD, HAMPTON, NH 03842-1258
(603) 929-1195
(603) 929-1196
Mailing address
4 ALUMNI DR, EXETER, NH 03833-2118
(603) 580-6635

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0445262305
NH
363LA2200X
Adult Health Nurse Practitioner
0445262305
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30342744
NH
Enumeration date
05/09/2006
Last updated
12/21/2015
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