Individual
MS. LISA PLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 MEMBERS WAY, SUITE 303, DOVER, NH 03820-5933
(603) 516-4268
(603) 609-6147
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 516-4268
(603) 609-6147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0496
NH
363A00000X
Physician Assistant
1353
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3081002
—
NH
Enumeration date
01/16/2006
Last updated
01/06/2021
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