Lori B Jacques RN, CCM

NPI 1174648299 - Registered Nurse - 163WC0400X

NPI Details
NPI 1174648299
Gender Female
Enumeration Date 03/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
93 CAMPUS AVENUE
CASE MANAGEMENT DEPARTMENT
LEWISTON ME, 04240, US
Phone (207) 777-8507
Fax (207) 753-5488
Business Location
CAMPUS AVENUE, PO BOX 291
CASE MANAGEMENT DEPARTMENT
LEWISTON ME, 04243-0291, US
Phone (207) 777-8507
Fax (207) 753-5488
Toxanomy
Taxonomy Code 163WC0400X
License State Maine
License Number R027612
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According to our database, Ms. Lori B Jacques RN, CCM NPI is 1174648299, taxonomy code is 163WC0400X and license number is R027612, license state is located at Maine. Lori B Jacques RN, CCM physically located at 93 Campus Avenue, Lewiston ME, 04240. NPI Number Lori B Jacques RN, CCM has the Individual type.

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1174648299 NPI number is provided on an as is basis without warranty of any kind. 1174648299 is maintained by the National Plan & Provider Enumeration System. The contents of Lori B Jacques RN, CCM are for informational purposes only.