| Doctor Name: | LISA LETOURNEAU |
| NPI Number: | 1184013344 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.N.P. |
| License Number: | CNP141080 |
| Business Practice Address: | 159 Silver St Waterville, ME - 049015813 |
| Business Phone Number: | 2078735437 |
| Business Fax Number: | 2078615448 |
| Mailing Address: | 159 Silver St, WATERVILLE |
| State: | ME |
| Postal Code: | 049015813 |
| Phone Number: | 2078735437 |
| Fax Number: | 2078615448 |
| NPI Enumeration Date: | 01/12/2015 |
| NPI Last Update Date: | 01/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | CNP141080 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |