Organization
LRG HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN W DONOVAN (PRESIDENT/CEO)
(603) 524-3211
Entity
Organization
Contact information
Practice address
724 N MAIN ST, LACONIA, NH 03246-2742
(603) 524-5151
(603) 527-2791
Mailing address
PO BOX 678, LACONIA, NH 03247-0678
(603) 524-3211
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
03032
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3079434
—
NH
Enumeration date
11/01/2006
Last updated
06/05/2017
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