Individual
MS. CHRYS J. LANDRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
86 DAVIS RD, BANGOR, ME 04401-2311
(207) 992-2205
(207) 992-2207
Mailing address
1048 UNION ST, SUITE 5, BANGOR, ME 04401
(207) 945-5247
(207) 992-2154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA164
ME
363A00000X
Physician Assistant
Primary
PA782
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303160099
—
ME
01
—
MM9086
MEDICARE GROUP #
—
Enumeration date
10/25/2006
Last updated
10/08/2008
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