Provider Demographics
NPI:1487499695
Name:LAFAUCI, MEAGAN (APRN)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:LAFAUCI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 ORCHARD VIEW DR STE 2
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3376
Mailing Address - Country:US
Mailing Address - Phone:603-782-9081
Mailing Address - Fax:
Practice Address - Street 1:24 ORCHARD VIEW DR STE 2
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3376
Practice Address - Country:US
Practice Address - Phone:603-782-9081
Practice Address - Fax:603-260-5581
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH077696-23363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner