Wild Prairie Primary Care Pllc
NPI #1720961865 in Lebanon, New Hampshire
Provider Information
- NPI Number
- 1720961865
- Entity Type
- Organization
- Organization Name
- Wild Prairie Primary Care Pllc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 28, 2025
- Last Updated
- Oct 18, 2025
Practice Location
- Address
- 240 MECHANIC ST STE 201
- City
- Lebanon
- State
- New Hampshire
- ZIP Code
- 03766-2617
- Phone
- (971) 235-9657
Authorized Official
- Name
- JUNIPER VALE, MD
- Title
- OWNER
- Phone
- (603) 727-9175
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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