Lisa Susan Chenevert, D.O.

NPI #1528157369 in Rumford, Maine

Provider Information

NPI Number: 1528157369
Entity Type: Individual
Name: Lisa Susan Chenevert, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Oct 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 431 FRANKLIN ST
City: Rumford
State: Maine
ZIP Code: 04276-2100
Phone: (207) 369-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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