Individual
MS. EMILY MAE LAVERTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LD
Contact information
Practice address
905 UNION ST STE 11, BANGOR, ME 04401-3039
(207) 973-4940
Mailing address
71 CENTER ST, BANGOR, ME 04401-5002
(207) 231-4773
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
ME
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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