LOIS TIEDEKEN

PORTLAND, ME
NPI1326017070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ME  022855)
Enumeration Date2006-03-15
Last Update Date2010-11-23
Business Address
Ms. LOIS TIEDEKEN ANP
84 MARGINAL WAY SUITE 800
PORTLAND, ME 04101
Phone number: 207-774-5816
Mailing Address
Ms. LOIS TIEDEKEN ANP
100 FODEN RD , WEST STE 203
SOUTH PORTLAND, ME 04106-2327
Phone number: 207-828-0361
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