Individual
CAROL ANN LESAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 HITCHCOCK WAY, MANCHESTER, NH 03104
(603) 695-2500
Mailing address
100 HITCHCOCK WAY, MANCHESTER, NH 03104
(603) 695-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0720
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30337452
—
NH
Enumeration date
03/23/2009
Last updated
05/21/2020
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