Organization
LIGHTHOUSE FOOT AND ANKLE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE N. KURLANSKI D.P.M. (DOCTOR)
(207) 774-0028
Entity
Organization
Contact information
Practice address
23 SPRING ST, SUITE B, SCARBOROUGH, ME 04074-7701
(207) 774-0028
(207) 774-0063
Mailing address
23 SPRING ST, SUITE B, SCARBOROUGH, ME 04074-7701
(207) 774-0028
(207) 774-0063
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1047
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048047
ANTHEM
ME
05
—
292820000
—
ME
01
—
7335092
AETNA
ME
01
—
U71993
HARVARD PILGRIM
ME
Enumeration date
10/23/2006
Last updated
07/31/2015
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