Individual
MS. LISA J LANGEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1 ALDEN AVE, AUGUSTA, ME 04330-6185
(207) 626-3497
(207) 621-6211
Mailing address
157 LEAVITT RD, AUGUSTA, ME 04330-8238
(207) 621-2621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT1722
ME
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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