| NPI | 1134405319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY LAMHUT Physician 207-992-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: ME 015959) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2012-07-05 |