Provider Demographics
NPI:1912966078
Name:MCCLURE, LORI ROBINSON (CPNP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ROBINSON
Last Name:MCCLURE
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HOLLAND WAY FL 1
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2997
Mailing Address - Country:US
Mailing Address - Phone:037-771-0966
Mailing Address - Fax:603-580-7210
Practice Address - Street 1:9 BUZELL AVE
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2520
Practice Address - Country:US
Practice Address - Phone:603-772-8900
Practice Address - Fax:603-772-0468
Is Sole Proprietor?:No
Enumeration Date:2006-03-18
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0337492302363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3076914Medicaid
NH30009020Medicaid
Q46017Medicare UPIN