Individual provider · NPI-1

Lauren Andreolas Baratta

Dentist · Lebanon, NH

NPI number1659754877
StatusActive
Last updated in NPPESApr 28, 2020

Details

NPI
1659754877
Entity type
Individual (NPI-1)
Name
Lauren Andreolas Baratta
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2015
Certification date
Apr 28, 2020
Last updated
Apr 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist04509NHYes
122300000X Dentist21307FL

Practice location

2 Campbell St
Lebanon, NH 03766-1304

Phone 603-448-4200

Mailing address

2 Campbell St
Lebanon, NH 03766-1304

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