LISA GOULDSBROUGH D.O. NPI 1255317897

NPI Information

  • NPI: 1255317897
  • Provider Name: LISA GOULDSBROUGH, D.O.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 3 SHAPE DRIVE
    2ND FLOOR
    KENNEBUNK, ME
    ZIP 04043
  • Phone: (207) 467-8930

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NPI Details

Lisa Gouldsbrough, D.O. is a pediatrics in Kennebunk, ME. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Lisa Gouldsbrough, D.O. NPI is 1255317897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3 SHAPE DRIVE
2ND FLOOR
KENNEBUNK, ME
ZIP 04043
Phone: (207) 467-8930
Fax: (467) 985-8459

The enumeration date for this NPI number is 12/15/2005 and was last updated on 10/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics1395MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MM4290MEDICARE PINMAINE
2E26775MEDICARE UPINMAINE
3242320099MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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