Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 8714 | NH |
N | 2084N0400X | Neurologist | A-1811-14 | NM |
N | 2084N0600X | Clinical Neurophysiologist | 8714 | NH |
NPI | 1013009950 |
---|---|
Provider Name | Dr. Eugene Austin Lesser |
First Address | Nashua, NH 03061-0808 |
Second Address | Nashua, NH 03060-3676 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 22/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
59243 | LICENSE (01) | MA |
80002387 | (05) | NH |
8714 | LICENSE (01) | NH |
E80157 | (02) | NH |