# LIFECYCLE WOMENS HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053892091
- **Authorized official:** SUSAN R KAMIN CNM (CNM)
- **Authorized official phone:** (207) 835-1720

## Contact information

- **Practice address:** 169 SOUTH RD, READFIELD, ME 04355-3340
- **Practice address phone:** (207) 835-1720
- **Practice address fax:** (207) 685-3035
- **Mailing address:** 246 WALNUT ST STE 104, NEWTON, MA 02460-1639
- **Mailing address phone:** (617) 244-3322
- **Mailing address fax:** (617) 244-1827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | CNM152002 | ME | Yes |

## Other

- **Enumeration date:** 08/28/2018
- **Last updated:** 08/28/2018