Individual
SUSAN LESSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
59 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2040
(603) 752-7797
Mailing address
59 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-5797
(603) 752-8231
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
02885522303
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0285522303
STATE LICENSE #
NH
01
—
0288525001
CIGNA HEALTHCARE
NH
01
—
2306306YPNH02
ANTHEM BC/BS
NH
05
—
30011412
—
NH
01
—
5830418
AETNA GROUP
—
01
—
P00141335
RAILROAD MEDICARE
—
Enumeration date
08/10/2005
Last updated
03/07/2023
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