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Individual

DR. ANDREW LACKOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4240
(207) 596-8000
(207) 593-5302
Mailing address
6 GLEN COVE DR, ROCKPORT, ME 04856-4240
(207) 596-8000
(207) 593-5302

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0117709
ME
208M00000X
Hospitalist Physician
Primary
MD11709
ME

Other

Enumeration date
02/27/2007
Last updated
12/11/2013
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