Individual
LISA BOURASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 TWIN MOUNTAIN RD, WHITEFIELD, NH 03598-3511
(603) 837-3088
(603) 837-9161
Mailing address
34 TWIN MOUNTAIN RD, WHITEFIELD, NH 03598-3511
(603) 837-3088
(603) 837-9161
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
035153-21
NH
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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