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

Lisa Ann Mack, NP

Individual provider Family Nurse Practitioner · NPI 1205587896

Lisa Ann Mack, NP is a Nurse Practitioner in Lebanon, New Hampshire. Qualified in 2021, 5 years ago. Practices with Dartmouth-Hitchcock Clinic, a 1,430-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Hampshire.

Years since qualifying
5
Licensed in
NH
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1 Medical Center Dr
Lebanon, NH 03756-0001
Phone: (603) 650-5091
Fax: (603) 650-4986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 049919-23 (NH)

Record details

NPI number1205587896
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 14, 2022
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Dartmouth-Hitchcock Clinic — 1430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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