Individual
DIANA LYELL I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
19 HAMPTON ROAD, EXETER, NH 03833
(603) 772-4684
(603) 772-5206
Mailing address
401 ANDOVER ST, SUITE 101, NORTH ANDOVER, MA 01845-5076
(978) 691-5690
(978) 691-5693
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0573
NH
174400000X
Specialist
150
MA
363A00000X
Physician Assistant
Primary
0573
NH
363A00000X
Physician Assistant
PA-367
ME
Other
Enumeration date
05/01/2007
Last updated
06/05/2013
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