Individual
LAURIE J JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 SCHOOL ST, BRISTOL, NH 03222-3263
(603) 744-5441
(603) 744-3698
Mailing address
PO BOX 1327, LACONIA, NH 03247-1327
(603) 524-3211
(603) 527-7038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
042963-23-03
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70001016
—
NH
Enumeration date
01/31/2006
Last updated
07/08/2007
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