IndividualActive
Jessica Wallaert, MD
NPI 1316112444 · Vascular Surgery Physician · Lebanon, NH
Provider details
- NPI number
- 1316112444
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 15096 (NH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1 Medical Center Dr
Dhmc
Lebanon, NH 03756-0001
Phone: (603) 650-8193
Approximate (ZIP-level) locationGet directions
Mailing address
1 Medical Center Dr
Lebanon, NH 03756-0001
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2021-07-12
- Certified
- 2021-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.