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Elizabeth Mack
Optician in Scarborough, Maine
NPI 1720865397

Elizabeth Mack is a Optician based in Gorham, ME and is specialized in Optician. Elizabeth Mack practices in Scarborough, ME. The NPI Number for Elizabeth Mack is 1720865397 and holds a License No. 1936 (Maine).

The current practice location address for Elizabeth Mack is 500 Gallery Blvd, Scarborough, ME and can be reached out via phone at 207-287-0160.

Location: 500 Gallery Blvd, Scarborough, ME, 04038-2229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720865397
Provider Name
Elizabeth Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 Gallery Blvd, Scarborough, ME, 04038-2229
Phone Number
207-287-0160
Fax Number
Provider Enumeration Date
09/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 Gallery Blvd
City
Scarborough
State
Maine
Zip
04074-6606
Phone Number
207-287-0160
Fax Number
person
Provider Business Mailing Address Details
Address
500 Gallery Blvd
City
Scarborough
State
Maine
Zip
04074-6606
Phone Number
207-287-0160
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
1936 (New Hampshire)
Definition
Definition to come...
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