LISA KELLY AUGUSTINE

PORTLAND, ME
NPI1326841529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-31
Last Update Date2025-03-31
Business Address
LISA KELLY AUGUSTINE MD
22 BRAMHALL ST
PORTLAND, ME 04102-3175
Phone number: 207-662-0111
Mailing Address
LISA KELLY AUGUSTINE MD
22 BRAMHALL ST
PORTLAND, ME 04102-3175
Phone number: 207-662-0111