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LYNETTE BASSETT WILLARD D.O.

Physicians Neuromusculoskeletal Medicine & OMM

Provider NPI: 1184646762

Provider Information:
 LYNETTE  BASSETT WILLARD D.O.
Gender: F
Sole Proprietor

Practice Location:
43 TODD BROOK RD  FREEPORT, ME 04032-6253 US
Tel: 207-869-9119  Fax: 207-869-9117

Business Mailing Address:
43 TODD BROOK RD  FREEPORT, ME 04032-6253 US
Tel: 207-869-9119  Fax: 207-536-2112

NPI Information:
NPI: 1184646762
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y204D00000XPhysicians
Neuromusculoskeletal Medicine & OMM
ME1854

Other Provider Identifiers:

IssuerNumberStateType
432047699ME05



American Medical Association 2012 taxonomy code information

Code: 204D00000X

Type:

Classification:



Definition:



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