Individual
MARY LEDOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 248-5000
(207) 626-1648
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 248-5000
(207) 626-1648
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LP04047
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LP04047
—
RI
Enumeration date
06/07/2017
Last updated
07/13/2021
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