Individual
MICHELE LABOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 FODEN RD, STE 3, SOUTH PORTLAND, ME 04106
(207) 523-8500
(207) 523-8591
Mailing address
100 GANNETT DRIVE, STE C, SOUTH PORTLAND, ME 04106
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD15152
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A232478
HUSA
HI
Enumeration date
02/09/2006
Last updated
10/20/2021
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