Mica Goulbourne, MD - Lebanon, NH

Mica Goulbourne, MD

Student in an Organized Health Care Education/Training Program in Lebanon, New Hampshire

NPI 1093276966

Mica Goulbourne is a Student in an Organized Health Care Education/Training Program based in Lebanon, NH. Mica Goulbourne practices in Lebanon, NH and has the professional credentials of MD. The NPI Number for Mica Goulbourne is 1093276966 and holds a License No. (New Hampshire).

The current practice location address for Mica Goulbourne is 1 Medical Dr Dept Of, Lebanon, NH and can be reached out via phone at 678-822-7536.

Location: 1 Medical Dr Dept Of, Lebanon, NH, 03756-1000

NPI Number

1093276966

Provider Name

Mica Goulbourne

Credential

Provider Entity Type

Individual

Gender

Female

Address

1 Medical Dr Dept Of, Lebanon, NH, 03756-1000

Phone Number

678-822-7536

Fax Number

Provider Enumeration Date

03/25/2019

Last Update Date

03/10/2024

Address

1 Medical Dr Dept Of

City

Lebanon

State

New Hampshire

Zip

03756-1000

Phone Number

678-822-7536

Fax Number

Address

1 Medical Dr Dept Of

City

Lebanon

State

New Hampshire

Zip

03756-1000

Phone Number

678-822-7536

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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