Individual
LISA D KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
430 BATH RD, BRUNSWICK, ME 04011-2637
(207) 442-0350
(207) 442-0355
Mailing address
430 BATH RD, BRUNSWICK, ME 04011-2637
(207) 442-0350
(207) 442-0355
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD19391
ME
Other
Enumeration date
08/30/2007
Last updated
01/21/2015
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