Individual
LAURA GOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
78 PEMBER RD, LEVANT, ME 04456-4319
(207) 991-2570
(207) 884-6311
Mailing address
78 PEMBER RD, LEVANT, ME 04456-4319
(207) 991-2570
(207) 884-6311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R046220
ME
163WH0200X
Home Health Registered Nurse
Primary
R046220
ME
Other
Enumeration date
03/06/2010
Last updated
03/06/2010
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