Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Larissa Forde Dreyer, PA

Individual provider Specialist · NPI 1194045377

Larissa Forde Dreyer, PA is a Physician Assistant in Lebanon, New Hampshire. Qualified in 2016, 10 years ago. Practices with Alice Peck Day Memorial Hospital, a 132-clinician group and accepts Medicare assignment. Licensed in New Hampshire and Wisconsin.

Years since qualifying
10
Licensed in
NH, WI
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Medical Center Dr Dartmouth Hitchcock - Family Med
Lebanon, NH 03756-1000
Phone: (603) 650-5922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1166 (NH)
Specialist Taxonomy 174400000X · Licence 1076-39 (WI)

Record details

NPI number1194045377
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 10, 2010
Last updated in NPPESMay 23, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Alice Peck Day Memorial Hospital — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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