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Individual

NORMAND ROGER MADORE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1114 LISBON ST, LEWISTON, ME 04240
(207) 784-2020
Mailing address
1114 LISBON ST, LEWISTON, ME 04240
(207) 784-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT544
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006793
ANTHEM BCBS
01
2022636
AETNA
01
M20351
CIGNA
Enumeration date
02/02/2006
Last updated
07/08/2007
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