Provider Demographics
NPI:1033271952
Name:LANNIN, LINDA N (OTL)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:N
Last Name:LANNIN
Suffix:
Gender:F
Credentials:OTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 MORSE RD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:NH
Mailing Address - Zip Code:03048-4802
Mailing Address - Country:US
Mailing Address - Phone:603-878-2470
Mailing Address - Fax:
Practice Address - Street 1:155 MORSE RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:NH
Practice Address - Zip Code:03048-4802
Practice Address - Country:US
Practice Address - Phone:603-878-2470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0508225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist