Organization
LYMPHORMATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA ANNE MATTHEWS (PRESIDENT)
(207) 786-6989
Entity
Organization
Contact information
Practice address
675 MAIN ST, MARKETPLACE MALL THE COMMONS, LEWISTON, ME 04240-5802
(207) 786-6989
(207) 786-6990
Mailing address
675 MAIN ST, MARKETPLACE MALL THE COMMONS, LEWISTON, ME 04240-5802
(207) 786-6989
(207) 786-6990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT1547
ME
174400000X
Specialist
PT2735
ME
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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