Individual
LISA BOSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330
(207) 626-1000
(207) 621-7277
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 626-1000
(207) 621-7277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015354
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010130427
—
ME
Enumeration date
01/31/2006
Last updated
11/05/2018
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