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Individual

LAWRENCE JOSEPH DACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-7390
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-7390

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
8307
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0001272
VT
05
3077832
NH
Enumeration date
06/21/2006
Last updated
10/06/2016
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