Individual
MRS. LEYA RAE LAVERRIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1 ELLIOT WAY, PEDIATRIC SURGERY, MANCHESTER, NH 03103
(603) 669-4985
Mailing address
1 ELLIOT WAY, PEDIATRIC SURGERY, MANCHESTER, NH 03103-3502
(603) 669-4985
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
0843
NH
Other
Enumeration date
08/11/2011
Last updated
06/05/2018
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