Individual
DR. AMY MOONEY LEWELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
50 COVE ST, SUITE A, PORTLAND, ME 04101-2514
(207) 828-8777
(207) 828-8778
Mailing address
50 COVE ST, SUITE A, PORTLAND, ME 04101-2514
(207) 828-8777
(207) 828-8778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2455
MA
111N00000X
Chiropractor
CR1393
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022182
ANTHEM BCBS
ME
01
—
0630793200
CIGNA
MA
01
—
1003993627
MEDCARE PTAN UX2254
ME
01
—
1049468
ASHN
MA
01
—
2146577
FIRST HEALTH
MA
01
—
2503521
AETNA
MA
01
—
351399
HPHC
MA
01
—
4402698
ACN
MA
01
—
Y36775
BLUECROSS
MA
Enumeration date
11/01/2006
Last updated
11/30/2015
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