RIVERSIDE ISURGERY NPI 1467157784

NPI Information

  • NPI: 1467157784
  • Provider Name: RIVERSIDE ISURGERY
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 20D2201053
  • Address: 475 LISBON ST
    LEWISTON, ME
    ZIP 04240
  • Phone: (207) 786-2500

Map and Directions

Get Directions

NPI Details

RIVERSIDE ISURGERY is an ambulatory surgical clinic center in Lewiston, ME. RIVERSIDE ISURGERY NPI is 1467157784. The provider is registered as an organization entity type.

The provider's business location address is:

475 LISBON ST
LEWISTON, ME
ZIP 04240-418
Phone: (207) 786-2500
Fax: (207) 786-2503

The provider's authorized official is Lisa Marie Lothrop .
The authorized official title is Clinical Director and has the following contact phone number (207) 212-4215.

The CLIA number assigned to this NPI record is 20D2201053 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2023 and was last updated on 4/4/2023.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI