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Individual

DR. LISA MARIE DRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
50 PORTLAND RD STE 4, KENNEBUNK, ME 04043-6789
(207) 502-3583
Mailing address
PO BOX 589, KENNEBUNK, ME 04043-0589
(207) 467-5588

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD2054
ME
207VG0400X
Gynecology Physician
Primary
D02054
ME
208D00000X
General Practice Physician
DO2054
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010179500
MEDICAL NETWORK OF MAINE
ME
01
010179500
FIRST HEALTH/COVENTRY NETWORK
01
1986548
CIGNA
ME
01
1992998553
ANTHEM
ME
05
433002499
ME
01
9291182
AETNA
ME
01
AA123722
HARVARD PILGRIM HEALTHCARE
ME
Enumeration date
08/27/2007
Last updated
03/24/2021
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