Individual
DR. ELLIS LAWRENCE ROLETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DARTMOUTH-HITCHCOCK CLINIC, LEBANON, NH 03756-1000
(603) 650-5700
(603) 650-6164
Mailing address
4 BALCH HILL LN, HANOVER, NH 03755-1622
(603) 650-1360
(603) 650-1360
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5751
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004229
—
VT
05
—
81114229
—
NH
Enumeration date
05/25/2006
Last updated
07/08/2007
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