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Individual

EDWARD JOHN LENAHAN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
175 FORE RIVER PKWY, PORTLAND, ME 04102-2779
(207) 879-3000
Mailing address
117 ELMAPLE DR, WESTBROOK, ME 04092-2084
(843) 822-6266

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
132160
SC

Other

Enumeration date
07/22/2021
Last updated
07/22/2021
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