Lea, Randall David
Lea, Randall David is an sole proprietor health care provider with primary practice located at 17 Alice Peck Day Dr , Lebanon NH 03766-2904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lea, Randall David can be contacted via phone (603) 442-5630.Contact Information
Primary practice address
17 Alice Peck Day Dr
Lebanon NH 03766-2904
Phone: (603) 442-5630
Fax: (603) 442-5631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | LA015413 | Louisiana |
Profile Details
| NPI number | 1588612063 |
|---|---|
| LBN Legal business name | Lea, Randall David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Sep 8th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588612063 | NPPES |
| New Hampshire | MEDICAID | 3095403 | |
| New Hampshire | MEDICAID | 1021450 | |
| New Hampshire | MEDICAID | 1346420 |
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