Individual
CARA CALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7869-23
WI
363A00000X
Physician Assistant
Primary
EL13735
NH
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437533445
—
WI
Enumeration date
07/20/2015
Last updated
07/11/2024
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