| Life Ideals, Llc | |
|
178 Lisbon St 3rd Floor Lewiston ME 04240-7234 | |
| (207) 333-3507 | |
| Not Available |
| Full Name | Life Ideals, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 178 Lisbon St, Lewiston, Maine |
| Authorized Official Name and Position | Karen Burke Lane (OWNER) |
| Authorized Official Contact | 2073333507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Ideals, Llc 178 Lisbon St 3rd Floor Lewiston ME 04240-7234 Ph: (207) 333-3507 | Life Ideals, Llc 178 Lisbon St 3rd Floor Lewiston ME 04240-7234 Ph: (207) 333-3507 |
| NPI Number | 1114368867 |
|---|---|
| Provider Enumeration Date | 07/10/2013 |
| Last Update Date | 07/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114368867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC10597 (Maine) | Primary |
| 1041C0700X | Social Worker - Clinical | LC8317 (Maine) | Secondary |
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