Individual provider · Type 1 NPI

Charlotte Elizabeth Bloom, DO

Student in an Organized Health Care Education/Training Program · Lebanon, NH

NPI number 1316640683 Active

Practice location

1 Medical Center Dr
Lebanon, NH 03756-0001

Mailing address

1 Medical Dr
Lebanon, NH 03756-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1316640683

Charlotte Elizabeth Bloom, DO's National Provider Identifier is 1316640683, issued on Mar 24, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lebanon, NH. The record was last updated on Mar 26, 2023.