Provider Demographics
NPI:1417289562
Name:LAMSON, TYLER DOUGLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:TYLER
Middle Name:DOUGLAS
Last Name:LAMSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 LAFAYETTE RD UNIT 6
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03874-4541
Mailing Address - Country:US
Mailing Address - Phone:603-474-9990
Mailing Address - Fax:603-474-9996
Practice Address - Street 1:270 LAFAYETTE RD UNIT 6
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:NH
Practice Address - Zip Code:03874-4541
Practice Address - Country:US
Practice Address - Phone:603-474-9990
Practice Address - Fax:603-474-9996
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-31
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH087980-23363LA2100X
MA3375111N00000X
NYX011989111N00000X
NH941111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty