Lisa Favreau, ATC
Specialist/Technologist, Athletic Trainer in So Portland, Maine
1497790836- Practice location
- 100 Foden RD, Suite 103W, So Portland, ME 04106-2319
- Phone
- 207-772-2625
- Fax
- 207-879-4246
- Last updated
- July 13, 2026
Lisa Favreau is a Specialist/Technologist, Athletic Trainer based in So Portland, ME. Lisa Favreau practices in So Portland, ME and has the professional credentials of ATC. The NPI Number for Lisa Favreau is 1497790836 and holds a License No. AT263 (ME). The current practice location address for Lisa Favreau is 100 Foden RD, Suite 103W, So Portland, ME 04106-2319 and can be reached out via phone at 207-772-2625 and via fax at 207-879-4246.
Provider Profile Details
- NPI Number
- 1497790836
- Provider Name
- Lisa Favreau
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Foden RD, Suite 103W, So Portland, ME 04106-2319
- Phone Number
- 207-772-2625
- Fax Number
- 207-879-4246
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 19, 2006
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Foden RD
Suite 103W
So Portland, ME 04106-2319 - City
- So Portland
- State
- Maine
- Zip
- 04106-2319
- Phone Number
- 207-772-2625
- Fax Number
- 207-879-4246
Provider Business Mailing Address Details
- Address
- 100 Foden RD
Suite 103W
So Portland, ME 04106-2319 - City
- So Portland
- State
- ME
- Zip
- 04106-2319
- Phone Number
- 207-772-2625
- Fax Number
- 207-879-4246
License Information
- License Number
- AT263
- License State
- ME
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lisa Favreau, ATC?
The NPI number of Lisa Favreau, ATC is 1497790836. It was assigned on June 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Lisa Favreau, ATC?
Lisa Favreau, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number AT263.
Where does Lisa Favreau, ATC practice?
The practice location is 100 Foden RD, Suite 103W, So Portland, ME 04106-2319. The office can be reached at 207-772-2625 (phone) or 207-879-4246 (fax).
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 1497790836 directly on the NPPES registry website.