Miss Lisa Gay Witham, ATC, LAT is a
Specialist/technologist - Athletic Trainer based in Londonderry, New Hampshire. Miss Lisa Gay Witham is licensed to practice in Connecticut (license number 000280) and her current practice location is
226 Rockingham Rd, Londonderry, New Hampshire. She can be reached at her office (for appointments etc.) via phone at
(603) 425-2989.
NPI number for Miss Lisa Gay Witham is 1053448456 and her current mailing address is 101 Aspetuck Ave., Canterbury School, New Milford, New Hampshire. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053448456.
Healthcare Provider's Profile
Full Name | Miss Lisa Gay Witham |
---|
Gender | Female |
---|
Speciality | Specialist/technologist - Athletic Trainer |
---|
Location | 226 Rockingham Rd, Londonderry, New Hampshire |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053448456
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 12/23/2020
Medical Identifiers
Medical identifiers for Miss Lisa Gay Witham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053448456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 1247 (New Hampshire) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | 000280 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Lisa Gay Witham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Lisa Gay Witham, ATC, LAT 101 Aspetuck Ave., Canterbury School, New Milford, NH 06776 Ph: (860) 389-3110 | Miss Lisa Gay Witham, ATC, LAT 226 Rockingham Rd, Londonderry, NH 03053-2170 Ph: (603) 425-2989 |
Reviews and Comments