Individual
ALYSSA M PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-6113
Mailing address
4 CHURCH ST, WOODSTOCK, VT 05091-1215
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0556
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30333745
—
NH
Enumeration date
07/26/2006
Last updated
10/10/2012
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