Individual
LISA M KELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10 HIGH ST STE 103, LEWISTON, ME 04240
(207) 795-2310
(207) 753-7647
Mailing address
10 HIGH ST STE 103, LEWISTON, ME 04240-7640
(207) 795-2310
(207) 753-7647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP08137
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL 9107
—
AK
Enumeration date
07/11/2006
Last updated
03/07/2023
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