Individual
LAURIE EDDY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
86 DAVIS ST, BANGOR, ME 04401-6410
(207) 992-2205
(207) 992-2207
Mailing address
37 SUMMER ST, HAMPDEN, ME 04444-1210
(207) 207-4330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R019443
ME
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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