Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 0985 | NH |
N | 152W00000X | Optometrist | 2903 | CO |
N | 152W00000X | Optometrist | ODTG00550 | RI |
NPI | 1003129610 |
---|---|
Provider Name | Dr. Alison Loranger |
First Address | Manchester, NH 03101-1325 |
Second Address | Manchester, NH 03101-1325 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2010 |
Last Update Date | 04/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3115819 | (05) | NH |
ODTG00550 | (02) | RI |