| Doctor Name: | LILA ZANUCCOLI |
| NPI Number: | 1083084271 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CAC5760 |
| Business Practice Address: | 21 Airport Rd Waterville, ME - 049014502 |
| Business Phone Number: | 2078727272 |
| Business Fax Number: | 2078720639 |
| Mailing Address: | 21 Airport Rd, WATERVILLE |
| State: | ME |
| Postal Code: | 049014502 |
| Phone Number: | 2078727272 |
| Fax Number: | 2078720639 |
| NPI Enumeration Date: | 09/30/2015 |
| NPI Last Update Date: | 09/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CAC5760 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |