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1538277868
KENNETH W LAGEROOS
LEWISTON, ME
NPI
1538277868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: ME DO1227)
Enumeration Date
2006-08-28
Last Update Date
2019-08-15
Business Address
KENNETH W LAGEROOS D.O.
93 CAMPUS AVE
LEWISTON, ME 04240
Phone number: 207-777-8442
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Mailing Address
KENNETH W LAGEROOS D.O.
PO BOX 7291
LEWISTON, ME 04243-7291
Phone number: 207-777-8950
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