Healthcare Provider Details

I. General information

NPI: 1952247322
Provider Name (Legal Business Name): LISA TORGERSEN MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1358 US ROUTE 2
RUMFORD ME
04276-4017
US

IV. Provider business mailing address

1358 ROUTE 2
RUMFORD ME
04276-4017
US

V. Phone/Fax

Practice location:
  • Phone: 781-285-8781
  • Fax:
Mailing address:
  • Phone: 781-285-8781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LISA TORGERSEN
Title or Position: OWNER
Credential: MD
Phone: 781-285-8781