Individual provider · Type 1 NPI

Lisa Favreau, ATC

Athletic Trainer · South Portland, ME

NPI number 1497790836 Active

Practice location

100 Foden Rd, Suite 103W
South Portland, ME 04106-2319

Call (207) 772-2625 Map

Fax (207) 879-4246

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300XAT263 (ME)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1497790836

Lisa Favreau, ATC's National Provider Identifier is 1497790836, issued on Jun 19, 2006. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in South Portland, ME. The record was last updated on Jul 13, 2026.