Individual
GLENN LEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1 PARKLAND DR, DERRY, NH 03038-2746
(603) 421-2163
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
029078-23-11
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
029078-23
NH
Other
Enumeration date
01/05/2006
Last updated
07/16/2015
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