Lori A Brodsky, NP
Nurse Practitioner, Family in Scarborough, ME. Individual provider (NPI-1).
NPI number1164534822
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1164534822
- Entity type
- Individual (NPI-1)
- Name
- Lori A Brodsky
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R047235 | ME | Yes |
Practice location
175 Us Route 1Scarborough, ME 04074-9048
Phone 207-885-7700 · Fax 207-885-7701
Mailing address
39 Wallace AveSouth Portland, ME 04106-6143
Phone 207-761-0650 · Fax 207-761-8198
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