Individual
LISA M. ENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
197 EAST MAIN STREET, SUITE 101, FORT KENT, ME 04743
(207) 834-6784
(207) 834-2967
Mailing address
194 EAST MAIN STREET, FORT KENT, ME 04743
(207) 834-6784
(207) 834-2967
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP081368
ME
363LF0000X
Family Nurse Practitioner
R034632
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266740099
—
ME
05
—
999010617
—
ME
01
—
D46407
ANTHEM
—
Enumeration date
11/18/2005
Last updated
01/05/2012
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