Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Favreau, ATC

Individual provider Athletic Trainer · NPI 1497790836

Lisa Favreau, ATC is an Athletic Trainer in So Portland, Maine. Licensed in Maine. Registered with an NPI since 2006.

Licensed in
ME
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

100 Foden Rd Ste 103W
So Portland, ME 04106-2319
Phone: (207) 772-2625
Fax: (207) 879-4246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT263 (ME)

Record details

NPI number1497790836
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedJune 19, 2006
Last updated in NPPESJuly 13, 2026