Provider Demographics
NPI:1013984244
Name:LAMPHIER, JONATHAN BLAIR (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:BLAIR
Last Name:LAMPHIER
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 1:600 SAINT JOHNSBURY RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-3442
Mailing Address - Country:US
Mailing Address - Phone:603-444-9541
Mailing Address - Fax:603-259-7561
Practice Address - Street 1:6 DOCTORS CIR
Practice Address - Street 2:STE 5
Practice Address - City:SUPPLY
Practice Address - State:NC
Practice Address - Zip Code:28462-6357
Practice Address - Country:US
Practice Address - Phone:910-754-5988
Practice Address - Fax:910-754-5989
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2019-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9347207RG0100X
NC2014-02003207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3008171Medicaid
NHHARVARDOtherG11609
NHANTHEMOther0104960Y0NH01
NHG11609Medicare UPIN
NHHARVARDOtherG11609