Lynette Bassett Willard
Neuromusculoskeletal Medicine (NMM)
43 Todd Brook Rd
Freeport
, Maine 04032-6253
Lynette Bassett Willard
Neuromusculoskeletal Medicine (NMM)
43 Todd Brook Rd
Freeport
, Maine 04032-6253
(207) 536-2112
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Lynette Bassett Willard
- 43 Todd Brook Rd
- Freeport, ME
- Zip : 04032-6253
- Fax : (207) 536-2112
- Phone : (207) 869-9119
Second Address
- Lynette Bassett Willard
- 43 Todd Brook Rd
- Freeport, ME
- Zip : 04032-6253
- Fax : (207) 869-9117
- Phone : (207) 869-9119
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 1854 | ME |
National Provider Identifier
| NPI | 1184646762 |
|---|---|
| Provider Name | Lynette Bassett Willard |
| First Address | Freeport, ME 04032-6253 |
| Second Address | Freeport, ME 04032-6253 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 19/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 432047699 | (05) | ME |
| I65431 | (02) | ME |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.