Lisa A Clarcq, DO
Family Medicine in Waterville, ME. Individual provider (NPI-1).
NPI number1346368925
StatusActive
Last updated in NPPESJan 20, 2021
Details
- NPI
- 1346368925
- Entity type
- Individual (NPI-1)
- Name
- Lisa A Clarcq
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2007
- Certification date
- Jan 20, 2021
- Last updated
- Jan 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 1610 | ME | Yes |
Practice location
149 North StWaterville, ME 04901-4974
Phone 207-873-1098 · Fax 207-861-5461
Mailing address
149 North StWaterville, ME 04901-4974
Phone 207-873-1098 · Fax 207-861-5461
Other practice locations
6 E Chestnut St
Augusta, ME 04330-5717
Augusta, ME 04330-5717
Phone 207-626-1303
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