| Lisa Thibault, | |
|
14 Cross St, Wilton, ME 04294-4050 | |
| (207) 578-8351 | |
| Not Available |
| Full Name | Lisa Thibault |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 14 Cross St, Wilton, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134595218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 048754 (Maine) | Primary |
| 163W00000X | Registered Nurse | 553833 (Massachusetts) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Thibault, 14 Cross St, Wilton, ME 04294-4050 Ph: (207) 578-8351 | Lisa Thibault, 14 Cross St, Wilton, ME 04294-4050 Ph: (207) 578-8351 |
John Henkel, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13 Fuller St, Wilton, ME 04294 Phone: 207-778-1835 | |
Kristin Rackliffe, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 284 Main St, Suite 190, Wilton, ME 04294 Phone: 207-333-7889 |