Provider Demographics
NPI:1730110610
Name:DR. ROSALIE A LOPRESTO,LLC
Entity type:Organization
Organization Name:DR. ROSALIE A LOPRESTO,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSALIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOPRESTO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:603-926-1101
Mailing Address - Street 1:1 PARK AVE
Mailing Address - Street 2:SUITE 2G
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-2113
Mailing Address - Country:US
Mailing Address - Phone:603-926-1101
Mailing Address - Fax:
Practice Address - Street 1:1 PARK AVE
Practice Address - Street 2:SUITE 2G
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2113
Practice Address - Country:US
Practice Address - Phone:603-926-1101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0285213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U67435Medicare UPIN
NHRE5417Medicare ID - Type Unspecified