Individual
LAURA FLEWELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Mailing address
4 JUDGE HASTY LN, SCARBOROUGH, ME 04074-7320
(207) 749-2095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2260
ME
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/06/2021
Last updated
10/18/2021
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