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LAKES REGION UROLOGY PA NPI 1326198102


NPI Information

NPI: 1326198102
Provider Name: LAKES REGION UROLOGY, PA
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
85 SPRING ST
LACONIA, NH
ZIP 03246
Phone: (603) 524-8660
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LAKES REGION UROLOGY, PA is an ambulatory surgical clinic center in Laconia, NH. LAKES REGION UROLOGY, PA NPI is 1326198102. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

85 SPRING ST
LACONIA, NH
ZIP 03246-113
Phone: (603) 524-8660
Fax: (603) 528-6220

The provider's authorized official is Daniel James Patrisso .
The authorized official title is Owner and has the following contact phone number (603) 524-8660.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 11/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist7001NEW HAMPSHIRENo
2261QA1903XClinic/CenterAmbulatory Surgical03021NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1301015MEDICARE PINNEW HAMPSHIRE
21805036Y0NH01OTHERNEW HAMPSHIREANTHEM ASC BILLING ID
3E57694MEDICARE UPINNEW HAMPSHIRE
400000655MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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