Basic Information
| Provider Information | |||||||||
| NPI: | 1477523801 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CAREY | ||||||||
| FirstName: | LOIS | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1327 | ||||||||
| Address2: | |||||||||
| City: | LACONIA | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032471327 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6035243211 | ||||||||
| FaxNumber: | 6035277038 | ||||||||
| Practice Location | |||||||||
| Address1: | 12 HARBOR SQUARE ROUTE 25 | ||||||||
| Address2: | |||||||||
| City: | CENTER HARBOR | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6032536925 | ||||||||
| FaxNumber: | 6032533823 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 043543-23-03 | NH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | AA26060 | 01 | NH | HARVARD PILGRIM HLTHCARE | OTHER | 2300982YPNH03 | 01 | NH | ANTHEM | OTHER | 3735253 | 01 | NH | AETNA | OTHER | 30340097 | 05 | NH | MEDICAID | 414705 | 01 | NH | MVP | OTHER | 7876882 | 01 | NH | CIGNA | OTHER |