Davis, Lisa

Davis, Lisa is an individual health care provider with primary practice located at 659 Hogan Rd , Bangor ME 04401-3626. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Davis, Lisa can be contacted via phone (207) 973-0400.

Contact Information

Primary practice address
659 Hogan Rd Bangor ME 04401-3626
Fax: (207) 973-1881
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LD4779 Maine

Profile Details

NPI number 1134760226
LBN Legal business name Davis, Lisa
Credentials LADC, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2019
Last updated Oct 1st, 2019 - about 6 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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