Individual
DEREK ANDREW LAUTIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2108 RIVER RD, MANCHESTER, NH 03104-1302
(603) 669-4524
(603) 641-9206
Mailing address
20A RICHARDSON DR, DERRY, NH 03038-4919
(603) 669-4524
(603) 641-9206
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0149
NH
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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