Individual
DR. PANCRAS HENRY VAN DER LAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-4911
(603) 788-5031
Mailing address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-5029
(603) 788-5607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5728
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000540
—
NH
05
—
0004272
—
VT
Enumeration date
01/05/2006
Last updated
12/19/2018
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