- Practice location
- 10 Whitten RD, Augusta, ME 04330-6019
- Phone
- 207-466-2400
- Fax
- —
- Last updated
- November 14, 2023
Lisa Marie Anderson is a Physician Assistant based in Augusta, ME. Lisa Marie Anderson practices in Augusta, ME and has the professional credentials of PA-C. The NPI Number for Lisa Marie Anderson is 1366525826 and holds a License No. PA1830 (ME). The current practice location address for Lisa Marie Anderson is 10 Whitten RD, Augusta, ME 04330-6019 and can be reached out via phone at 207-466-2400.
Provider Profile Details
- NPI Number
- 1366525826
- Provider Name
- Lisa Marie Anderson
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Whitten RD, Augusta, ME 04330-6019
- Phone Number
- 207-466-2400
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- -- Lisa Marie Gourley, MS, PA-C (Former Name)
- Provider Enumeration Date
- October 20, 2006
- Last Update Date
- November 14, 2023
- Certification Date
- November 14, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Whitten RD
Augusta, ME 04330-6019 - City
- Augusta
- State
- Maine
- Zip
- 04330-6019
- Phone Number
- 207-466-2400
Provider Business Mailing Address Details
- Address
- 360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105 - City
- Portsmouth
- State
- NH
- Zip
- 03801-7105
- Phone Number
- 603-410-6700
- Fax Number
- 603-319-8308
License Information
- License Number (1)
- PA1830
- License State (1)
- ME
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- C0003392
- License State (2)
- MD
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- C0003392
- License State (3)
- MD
- Taxonomy (3)
- Physician Assistant, Medical · 363AM0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Augusta, ME
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- Anna Dulin, PACPhysician Assistant · NPI 1700801115
- Benjamin L Strang, PA-CPhysician Assistant · NPI 1326638248
- Carol A Barlow, PA-CPhysician Assistant · NPI 1275508087
- Cathleen Cassie, PA-CPhysician Assistant · NPI 1588220966
Frequently Asked Questions
What is the NPI number of Lisa M Anderson, PA-C?
The NPI number of Lisa M Anderson, PA-C is 1366525826. It was assigned on October 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Lisa M Anderson, PA-C?
Lisa M Anderson, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA1830.
Where does Lisa M Anderson, PA-C practice?
The practice location is 10 Whitten RD, Augusta, ME 04330-6019. The office can be reached at 207-466-2400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366525826 directly on the NPPES registry website.