Individual
LISA S MILNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
50 SUMMER ST, MILLINOCKET, ME 04462-1400
(207) 528-8010
(207) 528-2880
Mailing address
PO BOX 500, PATTEN, ME 04765-0500
(207) 528-8010
(207) 528-2880
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1264-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43920100
—
WI
Enumeration date
04/26/2006
Last updated
07/09/2014
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