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Individual

MS. LAURA JEAN WERNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
25 MIDDLE STREET, PORTLAND, ME 04101
(207) 772-7979
(207) 773-7386
Mailing address
25 MIDDLE STREET, PORTLAND, ME 04101
(207) 772-7979
(207) 773-7386

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT1038
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
035331
ANTHEM BLUE CROSS BLUE SHIELD
ME
Enumeration date
02/04/2009
Last updated
02/04/2009
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