Most Relevant Information
Provider Data
| NPI Number: | 1003484767 |
| Provider Name: | MARIE LYNN CUPO APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0200X |
| Specialty: | Registered Nurse |
| License Number: | 084702-21 |
Most Important Dates
| Enumeration Date: | 06/17/2021 |
| Last Updated: | 07/07/2021 |
Provider Practice Location
1 MEDICAL CENTER DR
LEBANON
NH
037560001
Practice Location Phone/Fax
| Phone: | 6036505104 |
| Fax: |
Provider Mailing Location
1 MEDICAL CENTER DR
LEBANON
NH
037560001
Provider Mailing Phone/Fax
| Phone: | 6036505104 |
| Fax: |