Individual
MARC LAFRANCE DEMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
887 CONGRESS ST STE 400, PORTLAND, ME 04102-3163
(207) 373-6000
Mailing address
887 CONGRESS ST, PORTLAND, ME 04102-3100
(407) 234-2635
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD12883
ME
208600000X
Surgery Physician
ME0070771
FL
2086X0206X
Surgical Oncology Physician
ME0070771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250979200
—
FL
01
—
31962
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/05/2006
Last updated
10/14/2020
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