Organization
MOUSAM VALLEY ORTHOPAEDICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDI D LEBAR M.D. (PRESIDENT)
(207) 324-1488
Entity
Organization
Contact information
Practice address
312 COTTAGE ST, SANFORD, ME 04073-1828
(207) 324-1488
(207) 490-5733
Mailing address
312 COTTAGE ST, SANFORD, ME 04073-1828
(207) 324-1488
(207) 490-5733
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
ME
Other
Enumeration date
12/21/2006
Last updated
01/28/2008
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