Individual
DR. MARK IRA LAUSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
336 MOUNT HOPE AVE, SUITE 10, BANGOR, ME 04401-4236
(207) 942-2511
(207) 942-2511
Mailing address
336 MOUNT HOPE AVE, SUITE 10, BANGOR, ME 04401-4236
(207) 942-2511
(207) 942-2511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2645
ME
Other
Enumeration date
08/30/2006
Last updated
07/09/2007
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