Individual
JULIA ALISON CHICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756
(603) 650-5104
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
055.0031358
VT
363A00000X
Physician Assistant
Primary
1488
NH
Other
Enumeration date
09/06/2017
Last updated
10/31/2019
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