Individual
EVELINA G AMPARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 CAMPUS AVE, LEWISTON, ME 04240
(207) 753-5482
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
016958
ME
Other
Enumeration date
12/29/2005
Last updated
07/17/2007
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