Individual
LAWRENCE C MURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD OPTOMETRIST
Contact information
Practice address
17 LEWISTON ST, MECHANIC FALLS, ME 04256-0125
(207) 345-9863
Mailing address
PO BOX 125, 17 LEWISTON ST, MECHANIC FALLS, ME 04256-0125
(207) 345-9863
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
495
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014094
ANTHEM
—
01
—
1047230001
DMERC REGION A
—
05
—
116700000
—
ME
01
—
620123801
CIGNA
—
01
—
HMO1041880
AETNA
—
01
—
NONHMO5591255
AETNA
—
01
—
T79560
HARVARD PILGRIM
—
Enumeration date
02/21/2007
Last updated
07/15/2008
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