Individual
LAWRENCE G FISCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
153 PARK ROW, SUITE B, BRUNSWICK, ME 04011-2053
(207) 729-1600
Mailing address
153 PARK ROW, SUITE B, BRUNSWICK, ME 04011-2053
(207) 729-1600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
014257
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026605
ANTHEM STAR #
ME
01
—
4272322
AETNA
ME
Enumeration date
11/14/2006
Last updated
07/08/2007
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