Individual
MRS. LORI ANN DESHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 CUMBERLAND PL, SUITE 108, BANGOR, ME 04401-5083
(207) 990-9000
(207) 945-8645
Mailing address
1029 WESTERN AVE # 2, HAMPDEN, ME 04444-3312
(207) 990-9000
(207) 945-8645
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R051345
ME
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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