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Contact Information

LINDSEY DEROSA
217 MAIN ST STE 202
LEWISTON, ME04240-8193
 Phone: 207-618-5157
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LINDSEY DEROSA · (Female)

NPI # 1588299754
Status Active
Credentials
Entity Individual
Enumeration date 03/09/2020
Last updated 03/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ME License # CAC6918
  • ME Medicaid 464126690
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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