Individual
LISA S SPLITTSTOESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 SAINT ANDREWS LN, BOOTHBAY HARBOR, ME 04538-1732
(207) 633-7820
(207) 810-4966
Mailing address
2560 APAPANE ST, LIHUE, HI 96766-9611
(808) 634-7006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD27782
HI
207R00000X
Internal Medicine Physician
MD27782
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11865
STATE LICENSE
HI
Enumeration date
05/24/2005
Last updated
05/07/2024
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