Lord, Susan R

Lord, Susan R is an individual health care provider with primary practice located at 22 White St , Rockland ME 04841-2978. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Lord, Susan R can be contacted via phone (207) 594-3114.

Contact Information

Primary practice address
22 White St Rockland ME 04841-2978
Phone: (207) 594-3114
Fax: (207) 594-3108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R-023932 Maine
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R-023932 Maine

Profile Details

NPI number 1891779492
LBN Legal business name Lord, Susan R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Nov 16th, 2010 - about 15 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 1891779492 NPPES
Maine MEDICAID 286210099

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