| NPI | 1962753707 |
|---|---|
| Doing Business As | LAKES REGION GENERAL HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | PAUL RACICIOT Medical Director 603-524-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 066862-23) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |