Individual
LAUREN KATHRYN ANZALONE MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
265 WESTERN AVE, SOUTH PORTLAND, ME 04106-2458
(207) 661-0200
Mailing address
265 WESTERN AVE, SOUTH PORTLAND, ME 04106-2458
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP251384
ME
363LG0600X
Gerontology Nurse Practitioner
CNP251384
ME
Other
Enumeration date
07/03/2025
Last updated
08/18/2025
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