Provider Demographics
NPI:1114705274
Name:LAMPHERE, COURTNEY ELAINE (PA-C)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ELAINE
Last Name:LAMPHERE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 STILES RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2893
Mailing Address - Country:US
Mailing Address - Phone:603-386-0100
Mailing Address - Fax:
Practice Address - Street 1:32 STILES RD STE 103
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2893
Practice Address - Country:US
Practice Address - Phone:603-386-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant