Individual
EMORY ELIZABETH LISCORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330
(207) 248-5000
(207) 626-1648
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 248-5000
(207) 626-1648
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD20020
ME
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/24/2010
Last updated
10/10/2018
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