Individual
MS. LAURA KOLKER MEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4735
(207) 662-6388
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
0010-09184
NC
363A00000X
Physician Assistant
Primary
PA2127
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730658808
—
ME
Enumeration date
11/19/2018
Last updated
02/12/2024
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