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Individual

MICHAEL J LANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19 HAMPTON RD, EXETER, NH 03833-4838
(603) 778-1752
(603) 772-1493
Mailing address
PO BOX 655, EXETER, NH 03833-0655
(603) 778-1752
(603) 778-1493

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5637
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82084214
NH
Enumeration date
05/03/2006
Last updated
04/16/2010
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