Provider Demographics
NPI:1730577669
Name:DEPIERRE, CASSAUNDRA LYNN (CLC LNA)
Entity type:Individual
Prefix:
First Name:CASSAUNDRA
Middle Name:LYNN
Last Name:DEPIERRE
Suffix:
Gender:F
Credentials:CLC LNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 WEARE RD APT 1-15
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03874-4157
Mailing Address - Country:US
Mailing Address - Phone:603-394-6540
Mailing Address - Fax:
Practice Address - Street 1:47 WEARE RD APT 1-15
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:NH
Practice Address - Zip Code:03874-4157
Practice Address - Country:US
Practice Address - Phone:603-394-6540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-30
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH208635174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN