Individual
LORA MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 ALICE PECK DAY DR., LEBANON, NH 03766
(603) 448-3121
Mailing address
10 ALICE PECK DAY DR., LEBANON, NH 03766
(603) 448-3121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11680
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30203120
—
NH
Enumeration date
07/20/2006
Last updated
04/05/2021
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