Individual
DR. LAURA S EMMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27 FOGG CT, MANCHESTER, NH 03104-4103
(603) 232-2704
Mailing address
27 FOGG CT, MANCHESTER, NH 03104-4103
(603) 232-2704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11693
NH
207QA0505X
Adult Medicine Physician
11693
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30202199
—
NH
Enumeration date
05/23/2005
Last updated
11/11/2021
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