| NPI | 1942403266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK LAVOIE VP Medical Affairs 207-283-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2008-10-27 |