# MIDCOAST INTEGRATIVE HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jennifer Lakis, D.O.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952647901
- **Authorized official:** DR. JENNIFER LEE LAKIS D.O. (DOCTOR)
- **Authorized official phone:** (207) 798-9677

## Contact information

- **Practice address:** 14 MAINE ST, SUITE 205, BOX 14, BRUNSWICK, ME 04011-2049
- **Practice address phone:** (207) 798-9677
- **Practice address fax:** (207) 406-2029
- **Mailing address:** 14 MAINE ST, SUITE 205, BOX 14, BRUNSWICK, ME 04011-2049
- **Mailing address phone:** (207) 798-9677
- **Mailing address fax:** (207) 406-2029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2012
- **Last updated:** 06/30/2015