| NPI | 1023321593 |
|---|---|
| Other Name | MAINE MEDICAL PARTNERS LAKES REGION PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | LUGENE ANTHONY INZANA SVP Finance/CFO 207-662-3538 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 282N00000X General Acute Care Hospital (Licence: ME 37563) | |
| 363A00000X Physician Assistant | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2022-12-19 |