Individual
LAURIE E YNTEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
992 UNION ST, PENOBSCOT COMMUNITY HEALTH CENTER, BANGOR, ME 04401-3057
(207) 992-2601
Mailing address
PO BOX 1599, PENOBSCOT COMMUNITY HEALTH CENTER, BANGOR, ME 04402-1599
(207) 992-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14723
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323530099
—
ME
Enumeration date
06/14/2006
Last updated
05/05/2021
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