Provider Demographics
NPI:1992738033
Name:CONANT, LISA N (DC)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:N
Last Name:CONANT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 LAFAYETTE RD UNIT 6
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03874-4541
Mailing Address - Country:US
Mailing Address - Phone:603-474-9990
Mailing Address - Fax:217-544-4039
Practice Address - Street 1:270 LAFAYETTE RD UNIT 6
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:NH
Practice Address - Zip Code:03874-4541
Practice Address - Country:US
Practice Address - Phone:603-474-9990
Practice Address - Fax:217-544-4039
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACHI3418111N00000X
NH878111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL092728OtherHEALTHLINK
IL8482040OtherBC/BS #
IL395820Medicare ID - Type UnspecifiedGROUP #
ILJ04350Medicare ID - Type UnspecifiedINDIVIDUAL #