Individual
MS. KATHRYN L LILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
144 STATE ST, ANESTHESIOLOGY, PORTLAND, ME 04101-3776
(207) 553-6277
Mailing address
144 STATE ST, ANESTHESIOLOGY, PORTLAND, ME 04101-3776
(207) 553-6277
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R049438
ME
367500000X
Certified Registered Nurse Anesthetist
RN197680L
PA
Other
Enumeration date
08/18/2006
Last updated
04/12/2013
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