Individual
LORI ANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
24 MILES CENTER WAY, DAMARISCOTTA, ME 04543-4067
(207) 563-4250
(207) 563-4246
Mailing address
24 MILES CENTER WAY, DAMARISCOTTA, ME 04543-4067
(207) 563-4250
(207) 563-4246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN61958
ME
Other
Enumeration date
05/06/2019
Last updated
11/19/2019
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