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Individual

MARANDA L LYCETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
102 CAMPUS AVE, LEWISTON, ME 04240-6019
(207) 777-4200
Mailing address
295 FERRY RD, LISBON, ME 04250-6235
(207) 577-2456

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA5541
ME

Other

Enumeration date
07/14/2021
Last updated
07/14/2021
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