Individual
LASES PEARL THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10 ALICE PECK DAY DR # 03766290, LEBANON, NH 03766-2900
(603) 448-3121
Mailing address
20 WOLF RD APT C56, LEBANON, NH 03766-1916
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
078246-23
NH
Other
Enumeration date
04/15/2024
Last updated
11/05/2024
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