Individual
MS. MALYSSA LYNDA GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, LEBANON, NH 03756-0001
(603) 650-5104
Mailing address
ONE MEDICAL CENTER DRIVE, LEBANON, NH 03756-0001
(603) 650-5104
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1476
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3117838
—
NH
05
—
6700376
—
VT
Enumeration date
10/06/2017
Last updated
12/16/2022
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