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NPI Lookup from the NPI Registry — National Provider Identifier Database

SUSAN LIDSTONE
Psychiatric/Mental Health


Contact Information

SUSAN LIDSTONE
12 UNION ST
ROCKLAND, ME04841-2739
 Phone: 207-701-4400
 Fax: 207-701-4486
 Website:
 

Specialty

Taxonomy

Psychiatric/Mental Health

363LP0808X
 

Psychiatric/Mental Health

364SP0808X
 

Registered Nurse

163W00000X
Indicates primary specialty
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NPI Information

NPI Number 1548356900
Credentials
Entity Individual
Enumeration date 10/05/2006
Last updated 09/10/2012
Sole proprietor No
Identifiers
ME License # CNP81772
ME License # CNS84119
ME License # RN20742
ME Medicaid 257440099

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