Lisa Corron, DC
Individual provider Active NPI Chiropractor · Rockport, ME
NPI 1740318849 · NPPES record last updated Mar 11, 2021
Key facts
- NPI
- 1740318849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CR1246 (ME)
- Practice address
- 724 Commercial St
Rockport, ME 04856-4201 - Phone
- (207) 332-1235
- Fax
- (207) 593-8900
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- No
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
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CR1246 | ME | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waldoboro Chiropractic Center PA | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR1246 | ME | Yes |
Addresses
Primary practice location
724 Commercial St
Rockport, ME 04856-4201
Mailing address
724 Commercial St
Rockport, ME 04856-4201
Phone (207) 332-1235
Other practice location 1
241 US Route 1 Ste 103
Damariscotta, ME 04543-4715
Phone (207) 332-1235
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1351564 | Other | AETNA | |
| 098110 | Other | ANTHEM |
Other providers in Rockport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2021. 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.