Provider Demographics
NPI:1346632999
Name:LASHUA, RACHAEL THOMPSON (PA-C)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:THOMPSON
Last Name:LASHUA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:THOMPSON
Other - Last Name:STANLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29 NORTHWEST BLVD
Mailing Address - Street 2:IMMEDIATE CARE OF SOUTHERN NH
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-4068
Mailing Address - Country:US
Mailing Address - Phone:603-577-2273
Mailing Address - Fax:603-577-5191
Practice Address - Street 1:29 NORTHWEST BLVD
Practice Address - Street 2:IMMEDIATE CARE OF SOUTHERN NH
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-4068
Practice Address - Country:US
Practice Address - Phone:603-577-2273
Practice Address - Fax:603-577-5191
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1069363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical