Individual
LEE A ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6674
(207) 973-7312
Mailing address
489 STATE ST, BANGOR, ME 04401-6674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN49833
ME
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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