Individual
LYNNE MARIE PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
3 MOUNTAINVIEW DR, FORT KENT, ME 04743-1614
(207) 444-5973
(207) 444-5520
Mailing address
PO BOX 309, EAGLE LAKE, ME 04739-0309
(207) 444-5973
(207) 444-5520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN24451
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN24451
STATE NURSING LICENSE
ME
Enumeration date
08/31/2015
Last updated
07/07/2021
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