Individual
LAUREL MARIE KNAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
(207) 662-6254
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO2534
ME
208M00000X
Hospitalist Physician
Primary
DO2534
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720372626
—
ME
Enumeration date
06/08/2011
Last updated
02/18/2021
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