Organization
LAKE REGION FAMILY FOOT & ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBBIN W FROST D.P.M. (PRESIDENT)
(207) 893-1989
Entity
Organization
Contact information
Practice address
211 TANDBERG TRL, WINDHAM, ME 04062-5100
(207) 893-1989
(207) 893-0190
Mailing address
211 TANDBERG TRL, WINDHAM, ME 04062-5100
(207) 893-1989
(207) 893-0190
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD221
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156880000
—
ME
Enumeration date
07/12/2005
Last updated
08/04/2011
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