Lia O Angelini, MT
Individual provider Active NPI Specialist · Farmingdale, ME
NPI 1245565738 · NPPES record last updated Oct 16, 2009
Key facts
- NPI
- 1245565738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MT1762 (ME)
- Practice address
- 484 Maine Ave Ste 2D
Farmingdale, ME 04344-2903 - Phone
- (207) 582-2323
- Fax
- (207) 588-0294
- NPI assigned
- Oct 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT1762 | ME | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Wellness Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT1762 | ME | Yes |
Addresses
Primary practice location
484 Maine Ave Ste 2D
Farmingdale, ME 04344-2903
Mailing address
484 Maine Ave Ste 2D
Farmingdale, ME 04344-2903
Phone (207) 582-2323
Other providers in Farmingdale, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.