Lee, Ellen Lyman

Lee, Ellen Lyman is an individual health care provider with primary practice located at 22 Station Ave Suite 101, Brunswick ME 04011-2092. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lee, Ellen Lyman can be contacted via phone (207) 373-6848.

Contact Information

Primary practice address
22 Station Ave Suite 101 Brunswick ME 04011-2092
Phone: (207) 373-6848
Fax: (207) 373-6849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 016522 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD07436 Rhode Island
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 70463 Massachusetts

Profile Details

NPI number 1679545446
LBN Legal business name Lee, Ellen Lyman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jun 17th, 2015 - about 9 years ago

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 1679545446 NPPES
Other 5536582 CIGNA
Other P00139414 CIGNA
Other 3569097 CIGNA
MEDICAID 406990099 CIGNA
Other 047645 CIGNA
Other AA23786 CIGNA

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