Provider Demographics
NPI:1528248390
Name:LEE-ROBERTS, BARBARA (LMT, NCTMB, CA)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:LEE-ROBERTS
Suffix:
Gender:F
Credentials:LMT, NCTMB, CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:471 OLD STREET RD
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-1264
Mailing Address - Country:US
Mailing Address - Phone:603-547-5161
Mailing Address - Fax:603-924-0837
Practice Address - Street 1:471 OLD STREET RD
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-1264
Practice Address - Country:US
Practice Address - Phone:603-547-5161
Practice Address - Fax:603-924-0837
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0768M171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor