Individual
JENNA LAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
689 ODLIN RD, BANGOR, ME 04401-6709
(207) 694-1814
Mailing address
689 ODLIN RD, BANGOR, ME 04401-6709
(207) 694-1814
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN74469
ME
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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