LENA R WITHAM

BANGOR, ME
NPI1396029690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA1368)
Enumeration Date2011-10-05
Last Update Date2021-05-05
Business Address
LENA R WITHAM PAC
1012 UNION ST
BANGOR, ME 04401-3060
Phone number: 207-404-8100
Mailing Address
LENA R WITHAM PAC
PO BOX 1599
BANGOR, ME 04402-1599
Phone number: 207-404-8200
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