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Individual

LALAINE C LLANTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-6604
(207) 973-7555
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-6604
(207) 973-7555

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
018679
ME
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
018679
ME
208M00000X
Hospitalist Physician
018679
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432814999
ME
Enumeration date
01/09/2008
Last updated
12/12/2016
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