Individual
ELIZABETH M LONSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
45 GOLDER ST, LEWISTON, ME 04240-6033
(207) 755-3715
(207) 755-3728
Mailing address
PO BOX 1823, LEWISTON, ME 04241-1823
(207) 755-3715
(207) 755-3728
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R030096
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306190099
—
ME
01
—
430035517
RAILROAD MEDICARE
—
Enumeration date
08/13/2006
Last updated
04/27/2010
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