Provider Demographics
NPI:1346462942
Name:MESSINGER, LANCE RICHARD (LCMHC)
Entity Type:Individual
Prefix:MR
First Name:LANCE
Middle Name:RICHARD
Last Name:MESSINGER
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 BAPTIST HILL RD.
Mailing Address - Street 2:
Mailing Address - City:CANTERBURY
Mailing Address - State:NH
Mailing Address - Zip Code:03224
Mailing Address - Country:US
Mailing Address - Phone:603-783-9142
Mailing Address - Fax:
Practice Address - Street 1:58 BAPTIST HILL RD.
Practice Address - Street 2:
Practice Address - City:CANTERBURY
Practice Address - State:NH
Practice Address - Zip Code:03224
Practice Address - Country:US
Practice Address - Phone:603-783-9142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH127101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30421494Medicaid