Individual
LAUREN BANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 MCGREGOR ST STE 400, MANCHESTER, NH 03102-3779
(603) 206-2700
Mailing address
539 RIVER RD, MANCHESTER, NH 03104-1980
(603) 657-4816
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2766
NH
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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