Individual
DR. LUCIE BOURDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-1732
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
79
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79
LICENSE
NH
Enumeration date
05/22/2014
Last updated
05/22/2014
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