Individual
MARK R LENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 BROADWAY STE 100, BANGOR, ME 04401
(207) 907-3550
(207) 907-3562
Mailing address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8941
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD12551
ME
Other
Enumeration date
06/12/2006
Last updated
02/03/2022
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