| Doctor Name: | LISA B FOSS |
| NPI Number: | 1013129246 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RO39858 |
| Business Practice Address: | 1 Cumberland Pl Ste 108 Bangor, ME - 044015087 |
| Business Phone Number: | 2079909000 |
| Business Fax Number: | 2079418645 |
| Mailing Address: | 566 Bog Rd, HERMON |
| State: | ME |
| Postal Code: | 044010712 |
| Phone Number: | 2079909000 |
| Fax Number: | 2079418645 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | RO39858 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |