Individual
MS. LAUREEN MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15 PIPER RD, SCARBOROUGH, ME 04074-9473
(207) 883-8700
Mailing address
110 MAIN ST, #310, SACO, ME 04072-3509
(207) 571-4842
(207) 571-4842
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
010199-22
NH
164W00000X
Licensed Practical Nurse
34349
MA
164W00000X
Licensed Practical Nurse
Primary
PO11177
ME
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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