LISA A. TABENKEN

PORTLAND, ME
NPI1124018387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ME  CNP81696)
Enumeration Date2005-10-27
Last Update Date2021-10-21
Business Address
LISA A. TABENKEN NP
33 SEWALL ST
PORTLAND, ME 04102-2603
Phone number: 207-828-2100
Mailing Address
LISA A. TABENKEN NP
324 GANNETT DR STE 200
SOUTH PORTLAND, ME 04106-3266
Phone number: 207-482-7800