Individual
LYSSA JEANNE AGRESTE ANGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
96 CAMPUS DR, SCARBOROUGH, ME 04074-7163
(207) 885-9905
Mailing address
96 CAMPUS DR, SCARBOROUGH, ME 04074-7163
(207) 885-9905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP221099
ME
Other
Enumeration date
04/25/2023
Last updated
06/08/2023
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