Individual
LAUREL M COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
66 BRAMHALL ST, PORTLAND, ME 04102-3344
(207) 662-3157
(207) 662-4257
Mailing address
301 US ROUTE ONE, BUILDING C, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
013843
ME
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
013843
ME
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G69789
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337580099
—
ME
Enumeration date
04/01/2006
Last updated
09/24/2019
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