M. David Lauter, Md, Pc | |
200 Griffin Rd Suite 11 Portsmouth NH 03801-7145 | |
(603) 433-7500 | |
Not Available |
Full Name | M. David Lauter, Md, Pc |
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Speciality | Family Medicine |
Location | 200 Griffin Rd, Portsmouth, New Hampshire |
Authorized Official Name and Position | M David Lautr (DOC) |
Authorized Official Contact | 6034337500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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M. David Lauter, Md, Pc 200 Griffin Rd Suite 11 Portsmouth NH 03801-7145 Ph: (603) 433-7500 | M. David Lauter, Md, Pc 200 Griffin Rd Suite 11 Portsmouth NH 03801-7145 Ph: (603) 433-7500 |
NPI Number | 1699004309 |
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Provider Enumeration Date | 12/09/2009 |
Last Update Date | 12/09/2009 |
Medicare PECOS PAC ID | 4688964117 |
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Medicare Enrollment ID | O20160613000111 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699004309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6950 (New Hampshire) | Primary |
Provider Name | M David Lauter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366544819 PECOS PAC ID: 2365421583 Enrollment ID: I20050215000098 |
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