Individual
LISA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 HOSPITAL DR, BRIDGTON, ME 04009-1156
(207) 647-4232
(207) 647-6016
Mailing address
25 HOSPITAL DR, BRIDGTON, ME 04009-1156
(207) 647-4232
(207) 647-6016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1559
ME
Other
Enumeration date
01/27/2006
Last updated
03/09/2011
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