Individual
LILLIAN E ETERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
16 MANNING ST, SUITE 107, DERRY, NH 03038
(603) 434-1177
(603) 434-9992
Mailing address
16 MANNING ST, SUITE 107, DERRY, NH 03038
(603) 434-1177
(603) 434-9992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5521298
NH
111N00000X
Chiropractor
CH1306
MA
111N00000X
Chiropractor
DC00272
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05Y003758NH03
ANTHEM
—
01
—
1725085
CIGNA
—
01
—
2516824
AETNA
NH
05
—
30252493
—
NH
01
—
338764
PHCS
—
01
—
T53559
HARVARD PILGRIM HLTHCARE
—
Enumeration date
07/07/2006
Last updated
03/02/2016
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