Provider Demographics
NPI:1437185618
Name:SETNIK, LON J (MD)
Entity Type:Individual
Prefix:
First Name:LON
Middle Name:J
Last Name:SETNIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:250 PLEASANT ST
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-7539
Mailing Address - Country:US
Mailing Address - Phone:603-227-7000
Mailing Address - Fax:603-230-7218
Practice Address - Street 1:250 PLEASANT ST
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-7539
Practice Address - Country:US
Practice Address - Phone:603-227-7000
Practice Address - Fax:603-230-7218
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2013-06-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH13304207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3079932Medicaid
NH3079932Medicaid
NHRE883802Medicare PIN