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Individual

CAROL LYNN O'DEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-6070
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-6070

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
049456
CT
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
17124
NH
2080N0001X
Neonatal-Perinatal Medicine Physician
MT201005
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/25/2008
Last updated
07/13/2015
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