Kelsen, Lisa M

Kelsen, Lisa M is an individual health care provider with primary practice located at 10 High St Ste 103 , Lewiston ME 04240. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelsen, Lisa M can be contacted via phone (207) 795-2310.

Contact Information

Primary practice address
10 High St Ste 103 Lewiston ME 04240
Fax: (207) 753-7647
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP08137 Maine

Profile Details

NPI number 1609801729
LBN Legal business name Kelsen, Lisa M
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609801729 NPPES
Alaska MEDICAID CL 9107

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