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Organization

LRGHEALTHCARE

Active
Parent organization
LRGHEALTHCARE
Other names
Lakes Region General Hospital Professional Service
Organization subpart
Yes

Provider details

NPI number
Legal business name
LRGHEALTHCARE
Authorized official
HENRY D LIPMAN EVP-CFO (CHIEF FINANCIAL OFFICER)
(603) 524-3211
Entity
Organization

Contact information

Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 524-3211
Mailing address
PO BOX 4144, WOBURN, MA 01888-4144
(603) 524-3211

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00061
NH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
00061
NH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
00061
NH
2083X0100X
Occupational Medicine Physician
00061
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3021080
NH
05
30210989
NH
01
55616
CIGNA
NH
01
EMER990106
ANTHEM
NH
01
LAKE225306
ANTHEM
NH
01
LAKE493180
ANTHEM
NH
01
LAKE992535
ANTHEM
NH
Enumeration date
10/31/2006
Last updated
05/27/2008
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