Doctor Name: | LAUREN JEAN WELTON |
NPI Number: | 1003228479 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 1041 |
Business Practice Address: | 100 Hitchcock Way D-h Manchester, General Surgery Manchester, NH - 031044125 |
Business Phone Number: | 6036952840 |
Business Fax Number: | |
Mailing Address: | 100 Hitchcock Way, D-h Manchester, General Surgery MANCHESTER |
State: | NH |
Postal Code: | 031044125 |
Phone Number: | 6036952840 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2014 |
NPI Last Update Date: | 08/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 1041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |