Individual
LISA MICHELLE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
126 DEPOT ST, WALDOBORO, ME 04572-5913
(207) 832-6394
(207) 536-5162
Mailing address
126 DEPOT ST, WALDOBORO, ME 04572-5913
(207) 832-6394
(207) 536-5162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2452
ME
Other
Enumeration date
03/22/2011
Last updated
03/11/2026
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