NICOLE BOUTAUGH

LEWISTON, ME
NPI1144668914
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: ME  DO2563)
Additional Taxonomies207Q00000X Family Medicine
(Licence: ME  TP13108)
Enumeration Date2013-06-13
Last Update Date2018-03-17
Business Address
NICOLE BOUTAUGH DO
300 MAIN ST
LEWISTON, ME 04240-7027
Phone number: 207-795-7575
Mailing Address
NICOLE BOUTAUGH DO
300 MAIN ST
LEWISTON, ME 04240-7027
Phone number: 207-795-7575