Active NPIIndividual provider

Jacob R Lareau, PA-C

Physician Assistant in Portsmouth, New Hampshire

NPI Number1629708110
Practice location
Sportsmedicine Atlantic Orthopaedics, P.a., 1900 Lafayette Road Suite A, Portsmouth, NH 03801-0380
Fax
603-431-3347
Last updated
June 30, 2022

Jacob Robert Lareau is a Physician Assistant based in Portsmouth, NH. Jacob Robert Lareau practices in Portsmouth, NH and has the professional credentials of PA-C. The NPI Number for Jacob Robert Lareau is 1629708110. The current practice location address for Jacob Robert Lareau is Sportsmedicine Atlantic Orthopaedics, P.a., 1900 Lafayette Road Suite A, Portsmouth, NH 03801-0380 and can be reached out via phone at 603-431-3347 and via fax at 603-431-3347.

Provider Profile Details

NPI Number
1629708110
Provider Name
Jacob Robert Lareau
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
Sportsmedicine Atlantic Orthopaedics, P.a., 1900 Lafayette Road Suite A, Portsmouth, NH 03801-0380
Phone Number
603-431-3347
Fax Number
603-431-3347
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 16, 2022
Last Update Date
June 30, 2022
Certification Date
June 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
Sportsmedicine Atlantic Orthopaedics, P.a.
1900 Lafayette Road Suite A
Portsmouth, NH 03801-0380
Zip
03801-0380
Phone Number
603-431-3347
Fax Number
603-431-3347
Portsmouth, NH 03801Get directions →

Provider Business Mailing Address Details

Address
161 Royal Hts
Wells, ME 04090-4923
City
Wells
State
ME
Zip
04090-4923
Phone Number
413-427-1114

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacob R Lareau, PA-C?

The NPI number of Jacob R Lareau, PA-C is 1629708110. It was assigned on June 16, 2022 and is currently active in the NPPES registry.

What is the specialty of Jacob R Lareau, PA-C?

Jacob R Lareau, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Jacob R Lareau, PA-C practice?

The practice location is Sportsmedicine Atlantic Orthopaedics, P.a., 1900 Lafayette Road Suite A, Portsmouth, NH 03801-0380. The office can be reached at 603-431-3347 (phone) or 603-431-3347 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629708110 directly on the NPPES registry website.

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