Individual
LILLIAN DOMINGUEZ-KONICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
Mailing address
2 WESTGATE RD, CUMBERLAND, RI 02864-1302
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
34594
NH
Other
Enumeration date
03/26/2020
Last updated
07/23/2025
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