Individual
LOUIS J. VAICKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1 MEDICAL CENTER DR, PATHOLOGY, LEBANON, NH 03756-1000
(603) 650-8693
Mailing address
1 MEDICAL CENTER DR, PATHOLOGY, LEBANON, NH 03756-1000
(603) 650-8693
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
17480
NH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
L-251564
MA
Other
Enumeration date
06/06/2012
Last updated
07/08/2016
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