Individual
JOHN W LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
73 BISCAY RD, DAMARISCOTTA, ME 04543-0000
(207) 576-4021
Mailing address
PO BOX 502, BERWICK, ME 03901-0502
(603) 509-3514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC596
ME
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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