Provider Demographics
NPI:1013171560
Name:SARGENT, PATRICIA LEE (DO)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LEE
Last Name:SARGENT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 MAIN ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2919
Mailing Address - Country:US
Mailing Address - Phone:603-595-7388
Mailing Address - Fax:603-595-8624
Practice Address - Street 1:280 MAIN ST
Practice Address - Street 2:SUITE 410
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2919
Practice Address - Country:US
Practice Address - Phone:603-595-7388
Practice Address - Fax:603-595-8624
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH14899208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics