NPI 1720865397
Elizabeth Mack
Practice location
- Address
- 500 Gallery Blvd, Scarborough, ME 04074-6606
- Phone
- (207) 287-0160
- Mailing address
- 10 Sanborn St, Gorham, ME 04038-2229
Registered specialties
Optician
Primary
Registry record
- NPI
- 1720865397
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Sep 2023
- Record last updated
- 8 Sep 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.