Lrghealthcare

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

02824 Issued in NH

Legal business name

LRGHEALTHCARE

Doing business as

LRGHealthcare Ambulatory Surgical Center

Practice address

14 Maple St
Gilford, NH 03249-6580

Phone

(603) 524-7514

NPI assigned

Nov 6, 2006

Last updated

May 27, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

LRGHEALTHCAREAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Henry D Lipman, EVP-CFO

Title

Chief Financial Officer

Phone

(603) 524-3211

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LRGHealthcare Ambulatory Surgical Center Doing business as

Part of

Lakes Region Family Pra

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1003995309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4144",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018884144",
            "telephone_number": "603-524-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAPLE ST",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496580",
            "telephone_number": "603-524-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRGHEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LRGHEALTHCARE",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "LIPMAN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "603-524-3211",
        "authorized_official_credential": "EVP-CFO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NH",
            "license": "02824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30622386",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "57396",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LRGHealthcare Ambulatory Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Letourneau, DPT
• Morton Aaron Levin, DDS
• Jonathan Michael Lian, PT,DPT
• Glenn S Lieberman, MD
• Abigail Lines, DPT
• Lrghealthcare (Advanced Orthopaedic Specialists)
• Claudine J. Lund, LICSW
• Sarah Mangers, OTR/L, CLT
• Marc Delorenzo DMD LLC (Gilford Dental)
• Jessica Marcello, ARNP

• Ambulatory Surgical Clinic/Center in Gilford, NH
• Providers in Gilford, NH by specialty
• Ambulatory Surgical Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.