Mr Randall David Lea, MD | |
17 Alice Peck Day Dr, Lebanon, NH 03766-2904 | |
(603) 442-5630 | |
(603) 442-5631 |
Full Name | Mr Randall David Lea |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 17 Alice Peck Day Dr, Lebanon, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588612063 | NPI | - | NPPES |
3095403 | Medicaid | NH | |
1021450 | Medicaid | VT | |
1346420 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | LA015413 (Louisiana) | Primary |
Entity Name | Alice Peck Day Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803495 PECOS PAC ID: 6103737531 Enrollment ID: O20040927000296 |
Mailing Address | Practice Location Address |
---|---|
Mr Randall David Lea, MD 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 Ph: (603) 448-3121 | Mr Randall David Lea, MD 17 Alice Peck Day Dr, Lebanon, NH 03766-2904 Ph: (603) 442-5630 |
Dr. Michael B Sparks, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5155 Fax: 603-650-2097 | |
Dr. Lance Warhold, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc Orthopaedics, Lebanon, NH 03756 Phone: 603-650-8494 Fax: 603-650-8869 | |
William E Minsinger, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 | |
Dr. Garrett C Davis, M.D., M.B.A Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc Department Of Orthopaedics, Lebanon, NH 03756 Phone: 603-650-5000 | |
Dr. Paul J Hecht, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dhmc-department Of Orthopaedic Surgery, Lebanon, NH 03756 Phone: 603-650-5155 Fax: 603-650-2097 | |
Dr. William Abdu, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-2225 | |
Dr. William James Mckinnon Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5133 |