Tilluckdharry, Lisa
Tilluckdharry, Lisa is an individual health care provider with primary practice located at 248 Pleasant St Suite G100, Concord NH 03301-2588. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Tilluckdharry, Lisa can be contacted via phone (603) 224-9661.Contact Information
Primary practice address
248 Pleasant St Suite G100
Concord NH 03301-2588
Phone: (603) 224-9661
Fax: (603) 228-7051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 14363 | New Hampshire |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 14363 | New Hampshire |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 14363 | New Hampshire |
Profile Details
| NPI number | 1235336140 |
|---|---|
| LBN Legal business name | Tilluckdharry, Lisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Jan 15th, 2016 - about 8 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 | 1235336140 | NPPES |
| Vermont | MEDICAID | 1016776 | |
| Vermont | MEDICAID | 30208990 |
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