Individual
LAUREN M CISZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 329-4855
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 329-4855
(509) 865-5783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26928
ME
Other
Enumeration date
06/16/2014
Last updated
08/16/2024
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