Individual
ELIZABETH H. LANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
141 N MAIN ST, SUITE 303, BREWER, ME 04412-2011
(207) 992-7070
(207) 989-3709
Mailing address
45 RIVER RD, ORRINGTON, ME 04474-3039
(207) 992-7070
(207) 989-3709
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC 4434
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027754
ANTHEM ID NUMBER
ME
01
—
20042997DC
LLC ID NUMBER
ME
05
—
205360000
—
ME
Enumeration date
07/04/2006
Last updated
07/09/2007
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