Individual
MELISSA ELAINE MOTT FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0002
(603) 650-5000
(603) 640-1228
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
14224
MN
363A00000X
Physician Assistant
Primary
2120
NH
Other
Enumeration date
09/30/2020
Last updated
12/11/2025
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