Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 2014-02003 | NC |
Y | 207RG0100X | Gastroenterologist | 9347 | NH |
NPI | 1013984244 |
---|---|
Provider Name | Dr. Jonathan Blair Lamphier |
First Address | Littleton, NH 03561-3442 |
Second Address | Supply, NC 28462-6357 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 24/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3008171 | (05) | NH |
ANTHEM | 0104960Y0NH01 (01) | NH |
G11609 | (02) | NH |
HARVARD | G11609 (01) | NH |