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Individual

LISA B FOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1 CUMBERLAND PL STE 108, BANGOR, ME 04401-5087
(207) 990-9000
(207) 941-8645
Mailing address
566 BOG RD, HERMON, ME 04401-0712
(207) 990-9000
(207) 941-8645

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RO39858
ME

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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