Doctor Name: | JESSICA GRACE LORENZ-ARMSTRONG |
NPI Number: | 1326043902 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 0443 P |
Business Practice Address: | 1095 Profile Rd Franconia, NH - 035804938 |
Business Phone Number: | 6038238600 |
Business Fax Number: | 6038238688 |
Mailing Address: | Po Box 32, ANDOVER |
State: | NH |
Postal Code: | 032160032 |
Phone Number: | 6038238600 |
Fax Number: | 6038238688 |
NPI Enumeration Date: | 06/20/2005 |
NPI Last Update Date: | 01/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 0443 P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |