Individual
MS. ELAINE MICHELLE PRATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CPT
Contact information
Practice address
222 SAINT JOHN ST STE 214, PORTLAND, ME 04102-3057
(207) 871-7657
(207) 347-7898
Mailing address
222 SAINT JOHN STREET, SUITE 214, PORTLAND, ME 04102-3041
(207) 871-7657
(207) 347-7898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT2584
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT2584
LMT - STATE OF ME
ME
Enumeration date
11/11/2010
Last updated
11/11/2010
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