Individual
LAWRENCE J PETROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 HOSPITAL DR, SUITE 9, YORK, ME 03909-1030
(207) 363-6136
(207) 363-4863
Mailing address
12 HOSPITAL DR, SUITE 9, YORK, ME 03909-1030
(207) 363-6136
(207) 363-4863
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
6006
NH
207RC0000X
Cardiovascular Disease Physician
Primary
8487
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322840099
—
ME
05
—
81113078
—
NH
Enumeration date
06/17/2006
Last updated
03/04/2008
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