Lucy A Mack FNP

NPI 1013955673 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1013955673
Gender Female
Enumeration Date 06/03/2006
Last Updated 10/30/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
22 BRAMHALL ST
PORTLAND ME, 04102-3134, US
Phone (207) 662-2526
Fax
Business Location
324 GANNETT DR STE 200
SOUTH PORTLAND ME, 04106-3266, US
Phone (207) 482-7800
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Maine
License Number CNP81279
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According to our database, Lucy A Mack FNP NPI is 1013955673, taxonomy code is 363LF0000X and license number is CNP81279, license state is located at Maine. Lucy A Mack FNP physically located at 22 Bramhall St, Portland ME, 04102-3134. NPI Number Lucy A Mack FNP has the Individual type.

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1013955673 NPI number is provided on an as is basis without warranty of any kind. 1013955673 is maintained by the National Plan & Provider Enumeration System. The contents of Lucy A Mack FNP are for informational purposes only.