Individual provider · Type 1 NPI

Mary Lello, MAC, LAC

Specialist · Portland, ME

NPI number 1255410643 Active

Practice location

535 Ocean Ave
Portland, ME 04103-4973

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XAC 166 (ME)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255410643

Mary Lello, MAC, LAC's National Provider Identifier is 1255410643, issued on Nov 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, ME. The record was last updated on Jul 8, 2007.