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Individual

LILY MORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1 CITY CTR, PORTLAND, ME 04101-6420
(207) 773-7788
(207) 773-7711
Mailing address
1 CITY CTR, PORTLAND, ME 04101-6420
(207) 773-7788
(207) 773-7711

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT3384
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
099867
ANTHEM BLUE CROSS BLUE SH
ME
Enumeration date
11/01/2007
Last updated
11/01/2007
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