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Individual

REYNERIO SEPE LANOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
35 MEDICAL PARKWAY, AUGUSTA, ME 04330
(207) 872-1270
(207) 872-1831
Mailing address
44 PLEASANT ST, GARDINER, ME 04345-2620
(330) 475-9976

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
017527
ME
207R00000X
Internal Medicine Physician
57.009175
OH
208M00000X
Hospitalist Physician
Primary
017527
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432691999
ME
Enumeration date
04/16/2007
Last updated
02/24/2022
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