Provider Demographics
NPI:1568902203
Name:PICHE, LORNA M (APRN)
Entity Type:Individual
Prefix:
First Name:LORNA
Middle Name:M
Last Name:PICHE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LORNA
Other - Middle Name:M
Other - Last Name:ELLIOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LORNA AVERY: APRN
Mailing Address - Street 1:PO BOX 1327
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03247-1327
Mailing Address - Country:US
Mailing Address - Phone:603-527-2977
Mailing Address - Fax:603-527-2887
Practice Address - Street 1:724 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-2742
Practice Address - Country:US
Practice Address - Phone:603-652-2792
Practice Address - Fax:603-527-2770
Is Sole Proprietor?:No
Enumeration Date:2017-02-28
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH036164-23363L00000X, 363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH2016029815OtherNURSE PRACTIONER CERTIFICATION
NH036164-23OtherNURSE PRACTIONER