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1013955673
LUCY A MACK
PORTLAND, ME
NPI
1013955673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ME CNP81279)
Enumeration Date
2006-06-03
Last Update Date
2024-03-07
Business Address
LUCY A MACK FNP
161 MARGINAL WAY
PORTLAND, ME 04101-2438
Phone number: 207-773-7964
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Mailing Address
LUCY A MACK FNP
161 MARGINAL WAY
PORTLAND, ME 04101-2438
Phone number: 207-773-7964
Copy
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