Dries, Lisa Marie
Dries, Lisa Marie is an individual health care provider with primary practice located at 50 Portland Rd Ste 4 , Kennebunk ME 04043-6789. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Dries, Lisa Marie can be contacted via phone (207) 502-3583.Contact Information
Primary practice address
50 Portland Rd Ste 4
Kennebunk ME 04043-6789
Phone: (207) 502-3583
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD2054 | Maine |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | DO2054 | Maine |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | D02054 | Maine |
Profile Details
| NPI number | 1992998553 |
|---|---|
| LBN Legal business name | Dries, Lisa Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2007 |
| Last updated | Mar 24th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992998553 | NPPES |
| Maine | MEDICAID | 433002499 | |
| Maine | Other | 010179500 | |
| Maine | Other | 010179500 | |
| Maine | Other | 9291182 | |
| Maine | Other | 1986548 | |
| Maine | Other | AA123722 | |
| Maine | Other | 1992998553 |
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