Individual
LISE A DESJARDINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
756 COMMERCIAL ST, ROCKPORT, ME 04856-4201
(207) 593-5566
Mailing address
187 BAYSIDE W, OWLS HEAD, ME 04854-3432
(207) 594-1179
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R026287
ME
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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