Organization
MAINE SCHOOL ADMINISTRATIVE DISTRICT #75
Active
Organization
MAINE SCHOOL ADMINISTRATIVE DISTRICT #75
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI A BRODSKY FNP (ADMINISTRATOR)
(207) 729-2951
Entity
Organization
Contact information
Practice address
73 EAGLES WAY, MT. ARARAT HIGH SCHOOL, TOPSHAM, ME 04086-1239
(207) 729-2951
(207) 725-0143
Mailing address
73 EAGLES WAY, EAGLES NEST, MT. ARARAT HIGH SCHOOL, TOPSHAM, ME 04086-1239
(207) 729-2951
(207) 725-0143
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
R047235
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328370099
—
ME
Enumeration date
04/15/2008
Last updated
06/23/2008
Update your record
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