Reilly, Susan Lee

Reilly, Susan Lee is an individual health care provider with primary practice located at 1 Medical Center Dr 5L, Lebanon NH 03756-1000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Reilly, Susan Lee can be contacted via phone (603) 653-9302.

Contact Information

Primary practice address
1 Medical Center Dr 5L Lebanon NH 03756-1000
Phone: (603) 653-9302
Fax: (603) 650-0902
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 015400-23-04 New Hampshire

Profile Details

NPI number 1336161884
LBN Legal business name Reilly, Susan Lee
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336161884 NPPES
New Hampshire MEDICAID 30008606
New Hampshire MEDICAID 1004947

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