Provider Demographics
NPI:1114277167
Name:CATON-LEMOS, LAURIE (FNP)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:CATON-LEMOS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 SCHOONER ST
Mailing Address - Street 2:
Mailing Address - City:DAMARISCOTTA
Mailing Address - State:ME
Mailing Address - Zip Code:04543-4051
Mailing Address - Country:US
Mailing Address - Phone:207-563-4777
Mailing Address - Fax:207-563-4738
Practice Address - Street 1:79 SCHOONER ST
Practice Address - Street 2:
Practice Address - City:DAMARISCOTTA
Practice Address - State:ME
Practice Address - Zip Code:04543-4051
Practice Address - Country:US
Practice Address - Phone:207-563-4777
Practice Address - Fax:207-563-4738
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP121030363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner