Individual
LISA VEZIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1481
(207) 474-5121
(207) 474-3441
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 474-5121
(207) 474-3441
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO3677
ME
Other
Enumeration date
04/16/2019
Last updated
01/24/2024
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