| Organization Name: | LRGHEALTHCARE |
| NPI Number: | 1467743427 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HENRY D LIPMAN (EVP-CFO) |
| Mailing Address: | 14 Maple St Suite 100 Gilford |
| State: | NH US |
| Postal Code: | 032496580 |
| Phone Number: | 6035289011 |
| Fax Number: | 6035275743 |
| NPI Enumeration Date: | 04/26/2011 |
| NPI Last Update Date: | 09/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 332M |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |