| Laurie J Jorgenson, MD | |
|
5 School St, Bristol, NH 03222-3263 | |
| (603) 744-5441 | |
| (603) 744-3698 |
| Full Name | Laurie J Jorgenson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5 School St, Bristol, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396716031 | NPI | - | NPPES |
| 70001016 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 042963-23-03 (New Hampshire) | Primary |
| Entity Name | Lrghealthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700976032 PECOS PAC ID: 8820908189 Enrollment ID: O20040303000982 |
| Entity Name | Concord Hospital-laconia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053993741 PECOS PAC ID: 7012326259 Enrollment ID: O20210429001355 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie J Jorgenson, MD Po Box 1327, Laconia, NH 03247-1327 Ph: (603) 524-3211 | Laurie J Jorgenson, MD 5 School St, Bristol, NH 03222-3263 Ph: (603) 744-5441 |
Tina M Winters, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 100 Robie Road, Bristol, NH 03222 Phone: 603-744-6200 Fax: 603-536-4001 | |
Janice E Vaughn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 School St, Bristol, NH 03222 Phone: 603-744-5441 Fax: 603-744-3698 | |
Zachary Lewis Dix, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Robie Road, Bristol, NH 03222 Phone: 603-744-6200 | |
Carol A Maleska, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 School St, Bristol, NH 03222 Phone: 603-744-5441 Fax: 603-744-3698 |