Individual
LISA GOULDSBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3 SHAPE DRIVE, 2ND FLOOR, KENNEBUNK, ME 04043
(207) 467-8930
(467) 985-8459
Mailing address
1 MEDICAL CENTER DR, PO BOX 626, BIDDEFORD, ME 04005-9422
(207) 282-9080
(207) 985-8459
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1395
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242320099
—
ME
Enumeration date
12/15/2005
Last updated
10/27/2011
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