Basic Information
Provider Information
NPI: 1962818757
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAENZ
FirstName: CYNTIA
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherLastNameType:  
Mailing Information
Address1: PO BOX 1327
Address2:  
City: LACONIA
State: NH
PostalCode: 032471327
CountryCode: US
TelephoneNumber: 6039342060
FaxNumber: 6032577038
Practice Location
Address1: LRGH HOSPITALIST PROGRAM
Address2: 80 HIGHLAND STREET
City: LACONIA
State: NH
PostalCode: 032463235
CountryCode: US
TelephoneNumber: 6035277104
FaxNumber: 6037376713
Other Information
ProviderEnumerationDate: 07/01/2014
LastUpdateDate: 12/06/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XRS2014-0579NMN Allopathic & Osteopathic PhysiciansFamily Medicine 
207R00000X18590NHN Allopathic & Osteopathic PhysiciansInternal Medicine 
207Q00000X18590NHY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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