Individual
LISA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10 TSIENNETO RD, DERRY, NH 03038-1505
(603) 434-1577
(603) 434-3101
Mailing address
10 TSIENNETO RD, DERRY, NH 03038-1505
(603) 434-1577
(603) 434-3101
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
014288-22
NH
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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