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Individual

LISA A. STARKWEATHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
51 HIGH ST, DEXTER, ME 04930-1311
(207) 924-7349
(207) 924-5343
Mailing address
51 HIGH ST, DEXTER, ME 04930-1311
(207) 924-7349
(207) 924-5343

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R036742
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP423202
PTAN
ME
01
P00424129
RAILROAD MEDICARE
ME
Enumeration date
06/17/2006
Last updated
03/07/2023
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