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Contact Information

LISA BOULET
676 OLD LEWISTON RD
WINTHROP, ME04364
 Phone: 207-377-7003
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Hygienist

124Q00000X
Indicates primary specialty

NPI Profile & details for LISA BOULET · (Female)

NPI Number 1497087340
Status Active
Credentials
Entity Individual
Enumeration date 02/03/2010
Last updated 02/03/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # 2216
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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