Organization
LAKES REGION UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA DUMONT (OFFICE COORDINATOR)
(603) 524-8660
Entity
Organization
Contact information
Practice address
85 SPRING ST, LACONIA, NH 03246-3113
(603) 524-8660
Mailing address
85 SPRING ST, LACONIA, NH 03246-3113
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000655
—
NH
Enumeration date
11/30/2007
Last updated
11/30/2007
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