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NPI Code Detail

MEDICARE: LISA M. DAY LCSW

MEDICARE: LISA M. DAY LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLC11679ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962461475
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA M. DAY LCSW
Provider Business Mailing Address
First Line : 23 IAN PASS
Second Line :
City : RAYMOND
State : ME
Zip : 04071-6910
Country : US
Telephone Number : 207-655-5215
Fax Number :
Provider Business Practice Location Address
First Line : 50 MOODY ST
Second Line :
City : SACO
State : ME
Zip : 04072-1536
Country : US
Telephone Number : 800-434-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 07/22/2009

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