Individual
LISA A BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
181 CORPORATE DR, BANGOR, ME 04401-4314
(207) 992-2636
(207) 947-0435
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD14559
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22041099
—
ME
Enumeration date
09/13/2006
Last updated
07/05/2023
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