Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 16904 | NH |
NPI | 1982664587 |
---|---|
Provider Name | Dr. Lawrence M Epstein |
First Address | Somersworth, NH 03878-1543 |
Second Address | Somersworth, NH 03878-1543 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 27/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0179361 | (05) | MA |
B98995 | (02) |