Individual
LISA MARIE BOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-7000
Mailing address
1259 ALBAIR RD, CARIBOU, ME 04736-3999
(207) 551-9966
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP251188
ME
Other
Enumeration date
04/07/2025
Last updated
10/20/2025
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