Individual
HOLLY A LAGARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
358 MAIN ST, GORHAM, ME 04038-1314
(207) 222-2118
Mailing address
498 NEW DAM RD, NORTH WATERBORO, ME 04061-4718
(207) 632-2957
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT3985
ME
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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