Active NPIIndividual provider

Lisa N Neavyn, MD

Ophthalmology in Portland, Maine

NPI Number1780812735
Practice location
15 Lowell St, Portland, ME 04102-2792
Fax
207-523-5310
Last updated
October 12, 2023

Lisa N Neavyn is an Ophthalmology based in Portland, ME. Lisa N Neavyn practices in Portland, ME and has the professional credentials of MD. The NPI Number for Lisa N Neavyn is 1780812735 and holds a License No. 253205 (MA). The current practice location address for Lisa N Neavyn is 15 Lowell St, Portland, ME 04102-2792 and can be reached out via phone at 207-774-8277 and via fax at 207-523-5310.

Provider Profile Details

NPI Number
1780812735
Provider Name
Lisa N Neavyn
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
15 Lowell St, Portland, ME 04102-2792
Phone Number
207-774-8277
Fax Number
207-523-5310
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Other Names
-- Lisa Nicole Fredian (Former Name)
Provider Enumeration Date
June 29, 2009
Last Update Date
October 12, 2023
Certification Date
October 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Lowell St
Portland, ME 04102-2792
State
Maine
Zip
04102-2792
Phone Number
207-774-8277
Fax Number
207-523-5310
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
15 Lowell St
Portland, ME 04102-2792
City
Portland
State
ME
Zip
04102-2792
Phone Number
207-774-8277
Fax Number
207-523-5310

License Information

License Number (1)
253205
License State (1)
MA
Taxonomy (1)
Ophthalmology · 207W00000X
License Number (2)
MD24235
License State (2)
ME
Taxonomy (2)
Ophthalmology · 207W00000X · Primary
License Number (3)
4301094262
License State (3)
MI
Taxonomy (3)
Ophthalmology · 207W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
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 N Neavyn, MD?

The NPI number of Lisa N Neavyn, MD is 1780812735. It was assigned on June 29, 2009 and is currently active in the NPPES registry.

What is the specialty of Lisa N Neavyn, MD?

Lisa N Neavyn, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in MA under license number 253205.

Where does Lisa N Neavyn, MD practice?

The practice location is 15 Lowell St, Portland, ME 04102-2792. The office can be reached at 207-774-8277 (phone) or 207-523-5310 (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 1780812735 directly on the NPPES registry website.

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