Individual
MR. BRADLEY DEEN LANPHERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 KIMBERLY DR., ROCKPORT, ME 04856
(207) 596-7495
Mailing address
PO BOX 404, ROCKPORT, ME 04856-0404
(207) 596-7495
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3002301
ME
Other
Enumeration date
03/29/2007
Last updated
07/09/2007
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