Individual
ANNE LORETTA LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
207 S MAIN ST, NEWMARKET, NH 03857-1843
(603) 659-3106
(603) 659-8003
Mailing address
207 S MAIN ST, NEWMARKET, NH 03857-1843
(603) 659-3106
(603) 659-8003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
033239-23
NH
363LG0600X
Gerontology Nurse Practitioner
033239-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30011426
—
NH
Enumeration date
08/07/2007
Last updated
03/06/2013
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