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Contact Information

LISA M ANDERSON, PA-C
10 WHITTEN RD
AUGUSTA, ME04330-6019
 Phone: 207-466-2400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LISA M ANDERSON · (Female)

NPI Number 1366525826
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/20/2006
Last updated 11/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MD License # C0003392
  • ME License # PA1830
Hospital affiliation(s)
  • MAINE GENERAL MEDICAL CENTER - (Acute Care)
    35 MEDICAL CENTER PARKWAY
    AUGUSTA, ME 04330
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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