LISA C PRENTISS

PORTLAND, ME
NPI1881652642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA430)
Enumeration Date2006-05-02
Last Update Date2011-06-03
Business Address
-- LISA C PRENTISS PA
22 BRAMHALL ST PAVILION 1203
PORTLAND, ME 04102-7133
Phone number: 207-662-4618
Mailing Address
-- LISA C PRENTISS PA
301C US ROUTE ONE
SCARBOROUGH, ME 04074-9701
Phone number: 207-396-8600
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