Individual
ALLI T MOFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 524-3211
(603) 737-6713
Mailing address
PO BOX 1327, LACONIA, NH 03247-1327
(603) 524-3211
(603) 527-7038
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
020222150
NH
208M00000X
Hospitalist Physician
RN1022985
DC
363LF0000X
Family Nurse Practitioner
071452-23
NH
363LF0000X
Family Nurse Practitioner
Primary
341229
NY
363LP2300X
Primary Care Nurse Practitioner
F34122901
NY
Other
Enumeration date
04/21/2015
Last updated
01/12/2025
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