Organization
SEASIDE FAMILY HEALTH CARE LLC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURIE ANN SWIMM FNP (OWNER/OPERATOR)
(207) 937-8254
Entity
Organization
Contact information
Practice address
155 SACO AVE STE 2A, OLD ORCHARD BEACH, ME 04064-1600
(207) 937-8254
(207) 937-8529
Mailing address
PO BOX 675, SACO, ME 04072-0675
(207) 502-9465
(207) 937-8529
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
CNP101027
ME
Other
Enumeration date
05/15/2018
Last updated
08/09/2022
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