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Individual

LEWIS E MEHL-MADRONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
288 MAIN ST, ORONO, ME 04473-3433
(808) 772-1099
(207) 406-5354
Mailing address
288 MAIN ST, ORONO, ME 04473-3433
(808) 772-1099
(207) 406-5354

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19903
ME
2084P0800X
Psychiatry Physician
MD19903
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03249176
NY
01
541389
HIGHMARK
PA
Enumeration date
10/12/2006
Last updated
09/02/2024
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