Individual
MR. SERGEI PAVLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
(207) 753-7201
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
(207) 753-7201
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
049584
ME
Other
Enumeration date
06/18/2006
Last updated
12/21/2010
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