Organization
WELLNESS FOR WOMEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DRIES DO (OWNER/PROVIDER)
(207) 467-5588
Entity
Organization
Contact information
Practice address
50 PORTLAND RD STE 4, KENNEBUNK, ME 04043-6789
(207) 502-7400
(207) 569-0012
Mailing address
94C WHITTEN HILL RD, KENNEBUNKPORT, ME 04046-5114
(207) 467-5588
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433002499
—
ME
Enumeration date
06/10/2019
Last updated
10/22/2019
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