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1205587896
LISA ANN MACK
LEBANON, NH
NPI
1205587896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NH 049919-23)
Enumeration Date
2022-01-14
Last Update Date
2022-02-07
Business Address
LISA ANN MACK NP
1 MEDICAL CENTER DR
LEBANON, NH 03756-0001
Phone number: 603-650-5091
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Mailing Address
LISA ANN MACK NP
1 MEDICAL CENTER DR
LEBANON, NH 03756-0001
Phone number: 603-650-6054
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