Individual
RAYNE M. LODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
452 OLD STREET RD, PETERBOROUGH, NH 03458-1295
(603) 924-7191
Mailing address
452 OLD STREET RD, PETERBOROUGH, NH 03458-1263
(603) 924-7191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1201
NH
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/10/2013
Last updated
06/24/2021
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