Organization
OSTEOPATHIC FAMILYCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE BASSETT-WILLARD DO (PHYSICIAN/OWNER)
(207) 869-9119
Entity
Organization
Contact information
Practice address
43 TODD BROOK RD, FREEPORT, ME 04032-6253
(207) 869-9119
(207) 869-9117
Mailing address
43 TODD BROOK RD, FREEPORT, ME 04032-6253
(207) 869-9119
(207) 869-9117
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124750000
—
ME
Enumeration date
07/24/2006
Last updated
03/10/2016
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