| Organization Name: | LRGHEALTHCARE |
| NPI Number: | 1003995309 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HENRY D LIPMAN (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 14 Maple St Gilford |
| State: | NH US |
| Postal Code: | 032496580 |
| Phone Number: | 6035247514 |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 05/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 02824 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |