Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 072647-23 | NH |
NPI | 1497208391 |
---|---|
Provider Name | Monica M Lord |
First Address | Somersworth, NH 03878-1522 |
Second Address | Somersworth, NH 03878-1522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2016 |
Last Update Date | 17/08/2016 |