Basic Information
Provider Information
NPI: 1245667211
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAPIN
FirstName: LUCY
MiddleName: F
NamePrefix: MISS
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10 ALICE PECK DAY DR
Address2:  
City: LEBANON
State: NH
PostalCode: 037662900
CountryCode: US
TelephoneNumber: 6034483121
FaxNumber:  
Practice Location
Address1: 141 MASCOMA ST
Address2:  
City: LEBANON
State: NH
PostalCode: 037662647
CountryCode: US
TelephoneNumber: 6034483996
FaxNumber: 6034486863
Other Information
ProviderEnumerationDate: 10/04/2013
LastUpdateDate: 02/21/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X101.0134131VTN Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 
367A00000X067329-23NHY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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