Individual
LAURA DIVIRGILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 653-9559
Mailing address
56 ALTA BLVD UNIT 204, LEBANON, NH 03766-3404
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
PHCY-01680
NH
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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