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Individual

LISA N NEAVYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
15 LOWELL ST, PORTLAND, ME 04102-2792
(207) 774-8277
(207) 523-5310
Mailing address
15 LOWELL ST, PORTLAND, ME 04102-2792
(207) 774-8277
(207) 523-5310

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
253205
MA
207W00000X
Ophthalmology Physician
4301094262
MI
207W00000X
Ophthalmology Physician
Primary
MD24235
ME

Other

Enumeration date
06/29/2009
Last updated
10/12/2023
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