Individual
LEA A. GOTTFREDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 HEALTHCARE DR, SUITE 2, ROCHESTER, NH 03867-4499
(603) 330-3404
(603) 332-8175
Mailing address
PO BOX 25610, NEW YORK, NY 10087-6984
(781) 744-5554
(781) 744-7497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12456
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04YP08097NH01
ANTHEM ACES #
NH
01
—
101115806
W/C DEPT OF LABOR PIN
NH
01
—
150489
TUFTS
NH
01
—
2129565
CIGNA
NH
05
—
30223406
—
NH
01
—
3788702
AETNA
—
01
—
714733
HPHC
NH
01
—
U41350
ANTHEM RAN REFERRAL #
NH
Enumeration date
10/13/2005
Last updated
01/13/2026
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