Individual
LAUREN MARCELLA DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
109 GOULD RD, ORONO, ME 04473-3038
(207) 570-9072
Mailing address
27 OTIS ST APT 2, MEDFORD, MA 02155-4017
(207) 570-9072
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
122658
MA
Other
Enumeration date
05/29/2019
Last updated
08/06/2019
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