| NPI | 1962573337 |
|---|---|
| Doing Business As | LMP FAMILY MEDICINE WALDOBORO |
| Entity Type | Organization |
| Authorized Contact | LUGENE ANTHONY INZANA Associate CFO, Maine Health 207-662-3538 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant (Licence: ME PA289) | |
| 363A00000X Physician Assistant (Licence: ME PA603) | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2022-05-11 |