# MY VIRTUAL MEDICAL VISIT

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

## Provider details

- **NPI number:** 1104570449
- **Authorized official:** LORRAINE MARIE MORIN APRN-CNP (OWNER)
- **Authorized official phone:** (207) 252-3651

## Contact information

- **Practice address:** 1723 HAMMOND ST, HERMON, ME 04401-1120
- **Practice address phone:** (207) 252-3651
- **Mailing address:** 558 BRYANT RD, HERMON, ME 04401-0861
- **Mailing address phone:** (207) 252-3651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2022
- **Last updated:** 02/07/2022