Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 077690-23 | NH |
N | 363LW0102X | Nurse Practitioner - Women's Health | 201628 | MA |
NPI | 1023171055 |
---|---|
Provider Name | Ms. Catherine Marie Lehan |
First Address | Derry, NH 03038 |
Second Address | Derry, NH 03038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 24/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NP2336 | BCBS (01) | MA |