| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1578543278 | ALBERT | DEANA | C | 76 HIGH ST | LEWISTON | ME | 042407649 | |
| 1598708315 | HATTAN | THOMAS | C | 76 HIGH ST | LEWISTON | ME | 042407649 | |
| 1932410883 | KITCHENS | CHRISTOPHER | TODD | 76 HIGH ST | LEWISTON | ME | 042407649 | |
| 1174884951 | PICARD | PAIGE | 76 HIGH ST | LEWISTON | ME | 042407649 |