LISA L BULTHUIS

SOUTH PORTLAND, ME
NPI1689636607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ME  CNP81553)
Enumeration Date2006-04-05
Last Update Date2017-11-07
Business Address
LISA L BULTHUIS NP
100 FODEN RD, WEST SUITE 100
SOUTH PORTLAND, ME 04106
Phone number: 207-523-3904
Mailing Address
LISA L BULTHUIS NP
100 GANNETT DRIVE SUITE C
SOUTH PORTLAND, ME 04106
Phone number: 207-828-0361
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