NPI 1780812735 · live from the CMS NPI Registry
Lisa N Neavyn, M.D.
Ophthalmology in Portland, ME. National Provider Identifier 1780812735, active.
NPI record
| NPI | 1780812735 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 15 Lowell St, Portland, ME 04102 |
| Practice phone | 207-774-8277 |
| Enumerated | June 29, 2009 |
| Last updated | October 12, 2023 |
| Sole proprietor | No |
| Other names | Lisa Fredian |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 253205 (MA) |
| Ophthalmology primary | 207W00000X | MD24235 (ME) |
| Ophthalmology | 207W00000X | 4301094262 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.