Individual
LISA B CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
992 UNION ST, BANGOR, ME 04401-3057
(207) 945-5247
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 992-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP81527
ME
Other
Enumeration date
06/21/2005
Last updated
05/04/2021
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