Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 101329 | AK |
N | 2080P0205X | Pediatric Endocrinologist | 101329 | AK |
Y | 2080P0205X | Pediatric Endocrinologist | 20715 | NH |
NPI | 1164781704 |
---|---|
Provider Name | Dr. Luisa Fontes Aguiar |
First Address | Lebanon, NH 03756-0001 |
Second Address | Manchester, NH 03104-4125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2012 |
Last Update Date | 23/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1632045 | (05) | AK |