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Individual

BRIAN A LAWHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
335 BRIGHTON AVE, SUITE 200, PORTLAND, ME 04103-2362
(207) 662-8600
(207) 662-8668
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA506
ME

Other

Enumeration date
09/13/2005
Last updated
04/19/2012
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