Individual
LAURIE L HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
72 MAIN ST, KENNEBUNK, ME 04043-7021
(207) 467-8810
(207) 467-8811
Mailing address
72 MAIN ST, KENNEBUNK, ME 04043-7021
(207) 467-8810
(207) 467-8811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01056644A
IN
207R00000X
Internal Medicine Physician
246063
MA
207R00000X
Internal Medicine Physician
Primary
MD25268
ME
207RB0002X
Obesity Medicine (Internal Medicine) Physician
MD25268
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000263278
ANTHEM PIN#
IN
05
—
110088045
—
MA
05
—
200311740F
—
IN
01
—
200447370
IND
IN
05
—
200447370
—
IN
01
—
7862448
AETNA PIN#
IN
01
—
P00042891
MEDICARE RAILROAD NUMBER
IN
Enumeration date
08/15/2005
Last updated
03/24/2025
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