Individual
LEWIS B HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 VERANDA ST, PORTLAND, ME 04103-5545
(207) 828-2402
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0420009507
VT
207Q00000X
Family Medicine Physician
Primary
MD23696
ME
Other
Enumeration date
10/18/2005
Last updated
09/30/2020
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