Organization
RIVERSIDE ISURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARIE LOTHROP R.N. (CLINICAL DIRECTOR)
(207) 212-4215
Entity
Organization
Contact information
Practice address
475 LISBON ST, LEWISTON, ME 04240-7418
(207) 786-2500
(207) 786-2503
Mailing address
475 LISBON ST, LEWISTON, ME 04240-7418
(207) 786-2500
(207) 786-2503
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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