Individual
THOMAS E LISCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
(207) 626-1303
Mailing address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
(207) 626-1303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1551
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310510099
—
ME
Enumeration date
02/23/2006
Last updated
07/03/2008
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