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Individual

LISA L COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
80 HIGHLAND ST, LRGHEALTHCARE, LACONIA, NH 03246-3235
(603) 524-3211
(603) 543-6950
Mailing address
PO BOX 1327, LRGH PROFESSIONAL BILLING SERVICE, LACONIA, NH 03247-1327
(603) 524-3211
(603) 527-7038

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
50504
KY
363LF0000X
Family Nurse Practitioner
Primary
070907-23
NH
363LF0000X
Family Nurse Practitioner
RN248517 NP05747
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070907-23
LICENSE
NH
05
2316845
OH
Enumeration date
01/25/2006
Last updated
02/27/2017
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