Individual
MS. LISA D FENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
625 MAIN ST, LEWISTON, ME 04240-5938
(207) 376-7678
Mailing address
2696 HOTEL RD, AUBURN, ME 04210-8800
(207) 376-7678
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT3531
ME
Other
Enumeration date
09/05/2007
Last updated
03/16/2013
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