Individual
LISA K KEISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
765 HIGH ST, STE. 4, BATH, ME 04530-2496
(207) 443-4471
(207) 442-0407
Mailing address
765 HIGH ST, STE. 4, BATH, ME 04530-2496
(207) 443-4471
(207) 442-0407
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1842
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432011499
—
ME
Enumeration date
01/09/2006
Last updated
03/03/2016
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