Cloutier, Lise M

Cloutier, Lise M is an individual health care provider with primary practice located at 2 Livewell Dr , Kennebunk ME 04043-6762. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cloutier, Lise M can be contacted via phone (207) 467-8988.

Contact Information

Primary practice address
2 Livewell Dr Kennebunk ME 04043-6762
Fax: (207) 467-8969
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD15050 Maine

Profile Details

NPI number 1386624096
LBN Legal business name Cloutier, Lise M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 24th, 2025 - about last year

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 1386624096 NPPES
Maine MEDICAID 010211494

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