Provider Demographics
NPI:1922096247
Name:SCHLEPPHORST, LAWRENCE E (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:E
Last Name:SCHLEPPHORST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 ELM STREET
Mailing Address - Street 2:SUITE 201C
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-2903
Mailing Address - Country:US
Mailing Address - Phone:603-224-9995
Mailing Address - Fax:
Practice Address - Street 1:248 PLEASANT ST
Practice Address - Street 2:PILLSBURY BUILDING, SUITE G300
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2588
Practice Address - Country:US
Practice Address - Phone:603-224-9995
Practice Address - Fax:603-226-0859
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH7658207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH10395OtherHARVARD PILGRIM
NHCX5221OtherMEDICARE PTAN
NH80009418Medicaid
NH0107207Y0NH01OtherANTHEM
NHCX5221OtherMEDICARE PTAN