Individual
NANCY NYBERG-LAKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5 COLISEUM AVE, SUITE 209, NASHUA, NH 03063-3206
(603) 881-7141
(603) 880-7221
Mailing address
5 COLISEUM AVE, SUITE 209, NASHUA, NH 03063-3206
(603) 881-7141
(603) 880-7221
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
051359-12
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40Y008491NH01
ANTHEM BC/BS
NH
01
—
9598234
CIGNA HEALTHCARE
NH
Enumeration date
03/21/2006
Last updated
07/08/2007
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