Individual
LEE D HALLAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
887 CONGRESS STREET, SUITE 400, PORTLAND, ME 04102
(207) 774-6368
(207) 774-9388
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074
(207) 662-7060
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD20178
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2008
Last updated
08/20/2014
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