Individual
LISA E. PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
194 E MAIN ST, FORT KENT, ME 04743-1428
(207) 834-3060
(207) 834-4082
Mailing address
194 E MAIN ST, FORT KENT, ME 04743-1428
(207) 834-3060
(207) 834-4082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN27666
ME
163WR0006X
Registered Nurse First Assistant
Primary
RN27666
ME
Other
Enumeration date
11/15/2012
Last updated
11/19/2012
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