Lisa Favreau is a Athletic Trainer in So Portland, Maine. Lisa Favreau practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Lisa Favreau is 1497790836. The last update date is 2007-07-08.
Lisa Favreau's current location address is 100 Foden Rd, So Portland, Maine. You can contact this provider via phone number 2077722625 and fax number 2078794246. The mailing address for Lisa Favreau is 100 Foden Rd, So Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Favreau |
|---|---|
| Address | 100 Foden Rd, So Portland, Maine |
| Phone Number | 2077722625 |
| Fax Number | 2078794246 |
| Sole Proprietor | X |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1497790836 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Foden Rd |
|---|---|
| City | So Portland |
| State | Maine (ME) |
| Post Code | 41062319 |
| Phone Number | 2077722625 |
| Fax Number | 2078794246 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AT263 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identification code assigned to Lisa Favreau by the Centers for Medicare & Medicaid Services?
The Lisa Favreau has been issued the NPI (National Provider Identifier) 1497790836, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lisa Favreau located?
The Lisa Favreau is located at 100 Foden Rd, So Portland, ME 41062319.
What is Lisa Favreau's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa Favreau's area of specialization is Athletic Trainer, and the corresponding taxonomy code that categorizes this field of practice is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497790836 to Lisa Favreau?
The Centers for Medicare & Medicaid Services originally issued the 1497790836 to Lisa Favreau on 2006-06-19.
When was the Lisa Favreau's information last updated?
The Lisa Favreau's information was last updated on 2007-07-08.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC