Individual
LISA E PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
144 CANAL ST, NASHUA, NH 03064-2812
(603) 882-3434
(603) 889-5460
Mailing address
144 CANAL ST, NASHUA, NH 03064-2812
(603) 882-3434
(603) 889-5460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0707
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0561822
AETNA
NH
01
—
280200
CIGNANH
NH
01
—
626514
HARVARD PILGRIM
NH
01
—
6608511Y0NH02
ANTHEM BCBS
NH
01
—
761242
TUFT
NH
05
—
99560056
—
NH
Enumeration date
06/05/2007
Last updated
07/09/2007
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