| Doctor Name: | LISA BELANGER |
| NPI Number: | 1285759993 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R021136 |
| Business Practice Address: | 37 College Ave 125 Upton Hall Gorham, ME - 040381032 |
| Business Phone Number: | 2077805411 |
| Business Fax Number: | |
| Mailing Address: | 11 Lisas Way, NORTH YARMOUTH |
| State: | ME |
| Postal Code: | 040976075 |
| Phone Number: | 2076572299 |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | R021136 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |