Anderson, Lisa Re

Anderson, Lisa Re is an individual health care provider with primary practice located at 121 Medical Center Dr Suite 2700, Brunswick ME 04011-2653. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Anderson, Lisa Re can be contacted via phone (207) 721-8700.

Contact Information

Primary practice address
121 Medical Center Dr Suite 2700 Brunswick ME 04011-2653
Phone: (207) 721-8700
Fax: (207) 721-8715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 014029 Maine

Profile Details

NPI number 1881798874
LBN Legal business name Anderson, Lisa Re
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Feb 5th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881798874 NPPES
Maine MEDICAID 102140000

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