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Individual

DR. LOIS CATHERINE HAMEL CORSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP, PHD

Contact information

Practice address
10 WATER ST STE 305, WATERVILLE, ME 04901-6566
(207) 660-9905
Mailing address
964 MAIN ST, WILTON, ME 04294-3600
(207) 891-9547

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R030965
ME
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP81088
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
047792
BC/BS
ME
05
265390099
ME
Enumeration date
05/26/2006
Last updated
05/26/2015
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